Medi-Cal Managed Care

CalAIM Experiences: Bay Area Implementers

Goodwin Simon Strategic Research

Learn how implementation of CalAIM is unfolding in the Bay Area in this survey of people who work at managed care plans, behavioral health organizations, community-based organizations, and social services organizations.

An Innovative Solution for Sacramento’s Specialist Desert

Victoria Clayton

Medi-Cal, Investing in Innovation

WellSpace Health and UC Davis Health partner in effort to shorten specialty care wait times for Medi-Cal patients.

Palliative Care Movement Achieves Significant Progress in California

Claudia Boyd-Barrett

Serious Illness & End-of-Life Care

The growing availability of palliative care for patients with serious illnesses is preventing hospitalizations, improving outcomes, and providing significant relief.

How to Identify and Support Emerging Risk Medi-Cal Members with Complex Social and Behavioral Needs

Center for Accelerating Care Transformation at Kaiser Permanente Washington Health Research Institute, Vayu Health

Behavioral Health, Health Equity, Health Care Costs

Many Medi-Cal enrollees with diabetes have unmet behavioral and social needs. Medi-Cal health plans and providers are identifying how to reduce barriers to care and better support patients’ health.

CalAIM Experiences: Implementer Views After 18 Months of Reforms

Goodwin Simon Strategic Research

In this survey, nearly 1,200 people working to implement CalAIM programs at managed care plans, behavioral health organizations, community-based organizations, and social service organizations share optimism and challenges.

Key Takeaways from Medi-Cal Redetermination Data

Coverage Trends

After the COVID pandemic, California returned to requiring enrollees to annually renew their Medi-Cal coverage. CHCF is monitoring data from the state to understand who is getting disenrolled from the program and why.

CalAIM FAQ for Assisted Living Community Operators

Paula Hertel, Athena Chapman

Older Adults with Complex Needs

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.

What’s Next for CalAIM?

October 20, 2023

Medi-Cal, Behavioral Health, Homelessness & Health Care, Older Adults with Complex Needs

How DHCS is responding to early implementation barriers facing this transformative initiative.

CalAIM Explained for Assisted Living Community Operators

Paula Hertel, Athena Chapman

Older Adults with Complex Needs

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.

Early Lessons from CalAIM Initiatives to Address Behavioral Health Needs

Hadley Fitzgerald, Logan Kelly

Behavioral Health

Learn about concrete opportunities to improve delivery of Enhanced Care Management and Community Supports for people with serious mental illness and substance use disorder. This issue brief draws from interviews with behavioral health stakeholders across five counties.

Medi-Cal Explained: New Medi-Cal Services at a Glance (2020–2023)

Rachel Aberbach Metz

This fact sheet outlines new non-specialty mental health services as well as services introduced as part of the CalAIM initiative. It also covers benefits that establish a new billable provider type, such as community health workers.

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

Homelessness & Health Care

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.

Managed Long-Term Services and Supports: Quality Improvement Initiatives

Chapman Consulting

Medi-Cal, Older Adults with Complex Needs

This fact sheet examines several initiatives that could help support oversight and transparency of Medi-Cal long-term services and supports quality, with the intention to drive improvements in care coordination and delivery.

Designing Medi-Cal Consumer Advisory Committees

Center for Health Care Strategies

This report presents findings from a survey of Medi-Cal managed care plans that sought to understand their practices and experiences running consumer advisory committees.

Medi-Cal Explained: Administration of Non-Specialty Mental Health Services

This fact sheet lists all 2024 Medi-Cal managed care plans and indicates how they cover non-specialty mental health services.