California Advancing and Innovating Medi-Cal (CalAIM): High Level Summary



Authors: State of California Department of Health Care Services
Year: 2021
State: CA
Website link: https://www.dhcs.ca.gov/provgovpart/Documents/CalAIM/CalAIM-High-Level-Summary.pdf
Publicly Available: Yes
Billing and Reimbursement:
Certification:
Evidence Generation:
Policy:
Sustainable Financing: Engaging state partners in general, General other, MCO or bundled payment reimbursement models
Workforce Development: CDC expand CHW work into SDOH, Chronic Disease, General other (including mention of “employment practices”)

This proposal recognizes the opportunity to provide for non-clinical interventions focused on a whole-person care approach via Medi-Cal that target social determinants of health and reduce health disparities and inequities. Furthermore, the broader system, program, and payment reforms included in CalAIM allow the state to take a population health, person-centered approach to providing services and puts the focus on improving outcomes for all Californians. Attaining such goals will have significant impact on an individual’s health and quality of life, and through iterative system transformation, ultimately reduce the per-capita cost over time. DHCS intends to work with the Administration, Legislature and our other partners on these proposals and recognizes the important need to discuss these issues and their prioritization within the state budget process. These are initial proposals whose implementation will ultimately depend on whether funding is available.



Download Document