California Advancing and Innovating Medi-Cal (CalAIM) Program
California Advancing and Innovating Medi-Cal (CalAIM) is a long-term commitment to transform and strengthen Medi-Cal, offering Californians a more equitable, coordinated, and person-centered approach to maximizing their health and life trajectory. Currently the CalAIM program is offering Enhanced Care Management and Community Supports.
| Enhanced Care Management
Enhanced Care Management is person-centered care management provided to the highest-need Medi-Cal enrollees, primarily through in-person engagement. ECM will address clinical and non-clinical needs of patients through intensive coordination of health and health-related services. The ECM benefit assigns each patient a Lead Care Manager (LCM) to provide intensive whole-person care management to help address patient needs. This benefit ensures that patients are engaged with a LCM who understands their goals, develops a plan in partnership with the patient and their providers, and actively connects them with services and resources that help them meet those goals.
Services Include:
| Community Supports
Community Supports are cost-effective, health-supporting, and typically non-medical activities. St. John’s Community Health offers: Housing Transition and Navigation Services, Housing Tenancy and Sustaining Services, & Asthma Remediation. Patients receiving Community Supports at St. John’s Community Health are connected with a Housing Care Manager (HCM) who provide homeless and housing support services to help patients find appropriate housing, connect them with emergency shelters, and identify short- and long-term housing goals.
Services Include:
To be eligible for CalAIM, patients must be enrolled in Medi-Cal Managed Care with Anthem Blue Cross, Health Net, or L.A. Care and meet the criteria that DHCS requires in each population of focus.
For more information on the CalAIM program, please call (323) 541-1411