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

    Medi-Cal Bold Idea — Partially Unified Financing: Covered California for Most

    This proposal suggests transitioning most Californians — including many currently enrolled in Medi-Cal — into Covered California plans. The model aims to create a more continuous and equitable coverage system.

    •Consumer Affordability, Medi-Cal, Medi-Cal Payment and Financing
  • Future of Medi-Cal Illustration of a lightbulb filled with colorful balls
    Expert Perspective

    Medi-Cal Bold Idea — Multipayer Primary Care Payment Reform Model

    This proposal outlines a unified primary care payment model across Medi-Cal, CalPERS, and Covered California.

    •Medi-Cal, Medi-Cal Payment and Financing
  • Future of Medi-Cal Illustration of a lightbulb filled with colorful balls
    Expert Perspective

    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.

    •Home and Community-Based Services, Medi-Cal, Medi-Cal Payment and Financing
  • Future of Medi-Cal Illustration of a lightbulb filled with colorful balls
    Expert Perspective

    Medi-Cal Bold Idea — Consideration of a Medicaid Per Capita Cap

    This proposal explores a shift from open-ended federal matching funds to a per capita cap model for Medicaid, examining how this approach could offer California greater policy flexibility and budget predictability.

    •Medi-Cal, Medi-Cal Payment and Financing
  • Issue Brief

    Addressing Travel Costs for Providers of Field-Based Services in Medi-Cal

    •Community Health Workers, Medi-Cal, Medi-Cal Payment and Financing
  • A man works at a computer while his co-worker looks on
    Toolkit

    CalAIM Billing Guide for Housing-Related Community Supports Providers

    This updated guide outlines the five main steps of the health care billing cycle, with detailed instructions on how homeless services providers and community organizations can approach each activity.

    •CalAIM, Homelessness, Medi-Cal, Medi-Cal Payment and Financing
  • Report

    Building on CalAIM’s Housing Supports: Strengthening Medi-Cal for People Experiencing Homelessness

    This paper examines the successes, challenges, and opportunities in providing person-centered care to people experiencing homelessness. It offers seven recommendations California policymakers can take now to implement Medi-Cal housing supports and achieve person-centered care for people experiencing homelessness.

    •CalAIM, Homelessness, Medi-Cal, Medi-Cal Payment and Financing
  • Illustration of a group of people working together
    Explainer

    CalAIM Behavioral Health Payment Reform

    Learn about the organization of mental health and substance use disorder services in Medi-Cal, including financing and payment, and changes to those systems under the CalAIM Behavioral Health Payment Reform initiative.

    •Behavioral Health, CalAIM, Medi-Cal, Medi-Cal Payment and Financing, Substance Use Disorder
  • illustration of purple and blue arrows moving in an upward direction
    Report

    CalAIM and Specialty Behavioral Health Care: Lessons from Other States on Value-Based Payment

    This paper summarizes existing research and profiles five examples of value-based payment models across the US. The authors provide recommendations that California can follow to inform future behavioral health payment reforms.

    •Behavioral Health, CalAIM, Medi-Cal, Medi-Cal Payment and Financing, Substance Use Disorder
  • Smiling man wearing medical scrubs, working at his computer in a clinic.
    Issue Brief

    Billing Better in CalAIM

    This issue brief outlines key challenges with each step of the billing process and technological and process-oriented recommendations for addressing them. Recommendations reflect potential strategies that could be implemented by the Department of Health Care Services, managed care plans, and…

    •CalAIM, Medi-Cal, Medi-Cal Payment and Financing
  • Explainer

    Medi-Cal Explained: What Are Alternative Payment Models?

    This issue brief explores how Medi-Cal has been developing alternative payment models to align with federal initiatives and state financial and policy goals. It looks at the benefits of these models and barriers to their adoption.

    •Medi-Cal, Medi-Cal Payment and Financing
  • Explainer

    Medi-Cal Explained: How Health Centers Are Paid

    Learn about payment methods for community health centers and Federally Qualified Health Centers, including prospective payment system reimbursement.

    •Medi-Cal, Medi-Cal Payment and Financing
  • Issue Brief

    How California Can Build on CalAIM to Better Integrate Physical and Behavioral Health Care

    This analysis reviews CalAIM behavioral health initiatives, looks at programs from other states, and finds additional opportunities for California to advance integration in Medi-Cal.

    •Behavioral Health, CalAIM, Data Exchange, Medi-Cal, Medi-Cal Payment and Financing, Substance Use Disorder, Technology and Innovation
  • ombination lock
    Case Study

    Cracking the Codes: State Medicaid Approaches to Reimbursing Psychiatric Collaborative Care

    This paper summarizes the approaches taken and lessons learned by the first 15 state Medicaid programs to reimburse for collaborative care, an evidence-based model of integrating behavioral health into primary care. An accompanying fact sheet outlines the benefit in Medi-Cal.

    •Behavioral Health, Medi-Cal, Medi-Cal Payment and Financing
  • Close-up of antique pocket watch
    Issue Brief

    Time to Modernize Payment to Health Centers

    This issue brief outlines why these old payment rules are hurting patients during the COVID-19 crisis, and how transitioning to a new way of paying for care, called patient-centered payment, will allow health centers to better serve patients going forward.

    •Medi-Cal Payment and Financing, Primary Care