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California Health Care Foundation
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          The California Health Care Foundation is an independent, nonprofit philanthropy that works to improve the health care system so that all Californians have the care they need.

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          CHCF works on many different fronts to support California’s health care system. Explore resources, events, or networks related to each topic.

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          CHCF publishes reports, issue briefs, resource libraries, fact sheets, and more to help make meaningful change in California’s health care system.

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          The California Health Care Foundation is an independent, nonprofit philanthropy that works to improve the health care system so that all Californians have the care they need.

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Key Topic: Home and Community-Based Services

  • Senior woman with caregiver, sorting medicine.
    Resource

    What Are Home and Community-Based Services?

    This fact sheet series breaks down the essential components of Medi-Cal Home and Community-Based Services, which are critical for helping older adults and people with disabilities live independently and thrive.

    June 01, 2026

  • Future of Medi-Cal Illustration of a lightbulb filled with colorful balls
    Resource

    Medi-Cal Bold Idea — In-Home Supportive Services Integration into Managed Care

    This proposal suggests integrating In-Home Supportive Services (IHSS) into Medi-Cal managed care to improve care coordination and oversight while preserving recipient self-direction.

    April 10, 2026

  • Home health care worker with client
    Resource

    Who Receives Medi-Cal Home and Community-Based Services?

    Learn about the demographics of Medi-Cal enrollees receiving HCBS across five programs. The analysis reveals that HCBS recipients are diverse across age, race, ethnicity, and primary language.

    October 23, 2025

  • Home health care worker helping client rise from bed.
    Resource

    How Could Cuts to Medi-Cal Home and Community-Based Services Impact California?

    Analysts modeled the impact of cutting Medi-Cal HCBS programs. They found that a 10% cut to these programs could lead to over $1 billion in new costs over five years as many people move to nursing homes for care.

    October 23, 2025

  • home care worker helping an elderly woman put on a shoe
    Resource

    Listening to Californians with Complex Needs: Challenges Living Independently

    October 14, 2025

  • Blog

    Californians Receiving In-Home Care Fear Medicaid Cuts Will End Their Independent Living

    Like thousands of other Californians, Carol Crooks says her health has already deteriorated as she worries about losing the help she needs to live independently and remain out of a nursing home.

    May 28, 2025

  • Resource

    Moving HCBS to Medicaid Managed Long-term Services and Supports

    California is transitioning select Medi-Cal long-term services and supports from fee-for-service to managed care. This explainer offers insights and practical strategies from states that have already made this change.

    May 16, 2025

  • Resource

    Medi-Cal Home and Community-Based Services: Understanding Overlaps and Gaps

    In four short explainers learn about the Assisted Living Waiver, the Home and Community Based Alternatives Waiver, Multipurpose Senior Services Program Waiver, California Community Transitions and each program’s overlap and gaps with CalAIM Community Supports.

    January 13, 2025

  • Resource

    Quality of Care: Providers Almanac — 2024 Edition

    This set of quality measures focuses on providers, including ambulatory surgery centers, emergency departments, inpatient hospitals, nursing homes, and home health care.

    October 31, 2024

  • Illustration of a rainbow colored braid
    Resource

    Braiding Medicaid Funds to Support Person Centered Care: Lessons from Medi-Cal

    The concept of “braiding” multiple funding streams is relatively new and can be challenging. Learn how three California social service organizations are braiding funding to advance person-centered care for people with complex needs.

    August 20, 2024

  • Elderly man petting his dog
    Resource

    CalAIM Community Supports Early Adopters: Spotlight on Nursing Home Transitions and Diversion

    In San Mateo County, two organizations are partnering successfully to deliver two Community Supports to help people who want to transition out of nursing homes — or avoid going to one in the first place. This fact sheet provides tips…

    July 16, 2024

  • Home health aide helps elderly woman rise from bed
    Resource

    CalAIM Community Supports Early Adopters: Personal Care and Homemaker Services, and Respite Services

    Two organizations in Kern County are partnering successfully to offer Community Supports to people who need help with activities of daily living. This fact sheet provides strategies for other organizations seeking to offer these services.

    July 16, 2024

  • Resource

    Centering Perspectives of Dually Eligible Older Adults of Color

    Community Catalyst and the LeadingAge LTSS Center at the University of Massachusetts Boston partnered with community organizations in California to pilot the cocreation of a set of HCBS quality measures with dually eligible older adults of color.

    March 26, 2024

  • Resource

    CalAIM FAQ for Assisted Living Community Operators

    This fact sheet provides general information and resources for operators interested in learning more about CalAIM and how its Community Supports program may support the populations they serve.

    October 24, 2023

  • Home health care worker shows patient information on a tablet.
    Resource

    CalAIM Explained for Assisted Living Community Operators

    This brief focuses on CalAIM’s provisions for older adults, explaining how it seeks to increase access and to improve the delivery of long-term services and supports.

    October 04, 2023

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OAKLAND
1438 Webster Street #400
Oakland, CA 94612
Tel: 510.238.1040 Fax: 510.201.2991
Directions to CHCF Oakland

SACRAMENTO
1415 L Street #820
Sacramento, CA 95814
Tel: 916.329.4540 Fax: 916.329.4544
Directions to CHCF Sacramento

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