Leveraging Accountable Communities for Health to Meet CalAIM Goals



Authors: California Accountable Communities for Health Initiative
Year: 2019
State: CA
Website link: https://cachi.org/uploads/resources/CACHI-CalAIM-Goals_12-2019.pdf
Publicly Available: Yes
Billing and Reimbursement:
Certification:
Evidence Generation:
Policy: Building partnerships
Sustainable Financing: CMS and CDC engagement from a national level, How to engage and work with Medicaid, Billing/CPT codes, Education to HC orgs on payment options bundled etc., MCO or bundled payment reimbursement models, Documentation of how CHWs can work within care teams, White papers
Workforce Development: CDC expand CHW work into SDOH, CDC input on state-level strategic planning, Chronic Disease, General other (including mention of “employment practices”), Recruiting and convening CHWs stakeholders

The Department of Health Care Services recently launched the CalAIM initiative, which stands for California Advancing and Innovating Medi-Cal. CalAIM proposes a framework to guide upcoming Medicaid transformation initiatives, including waiver renewals, as the state’s current 1115 waiver (Medi-Cal 2020) and 1915(b) waiver come to a close in 2020. CalAIM provides an opportunity for policymakers and stakeholders to build on progress to date to make the health care delivery system more efficient and effective for people who rely on Medi-Cal.



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