California Advancing and Innovating Medi-cal (CalAIM)
Upcoming Events
Intrepid Ascent, in partnership with Kaiser Permanente, Community Health Group, Blue Shield Promise, Molina, Aetna, & Health Net, are hosting an event series called CalAIM Academy! The intent of this series is to help San Diego providers avoid duplicative training by Managed Care Plans (MCP) by bringing all local MCPs together into one training session, thereby saving providers countless training hours. Listed below are the dates and times for upcoming events in the series.
The purpose of the Lunch n' Learn is to provide an Enhanced Care Management (ECM) and Community Supports Overview, which Populations of Focus are eligible to receive ECM, information about which Community Supports are provided by MCPs, and how providers can refer members to ECM and Community Supports along with the process the MCP follows to authorize ECM and Community Supports.
During the Office Hours, questions can be pre-submitted to the MCPs who will be available to review during dedicated office hours every other month.
CalAIM Academy - Lunch n' Learn
- When: December 1st, 12pm
- Hosts: Intrepid Ascent, Kaiser Permanente, Community Health Group, Blue Shield Promise, Molina, Aetna, & Health Net
- Who’s invited: Everyone!
- Register here
CalAIM Academy - Lunch n' Learn
- When: December 15th, 9am
- Hosts: Intrepid Ascent, Kaiser Permanente, Community Health Group, Blue Shield Promise, Molina, Aetna, & Health Net
- Who’s invited: Everyone!
- Register here
CalAIM Academy - Office Hours #3: Managed Care Plan Q&A
- When: December 18th, 2-2:30pm (immediately following the San Diego PATH CPI Collaborative Monthly Meeting)
- Hosts: Intrepid Ascent, Kaiser Permanente, Community Health Group, Blue Shield Promise, Molina, Aetna, & Health Net
- Who’s invited: Everyone!
- Register here
If you have any questions or concerns, please contact emily@intrepidascent.com.
Sign up to receive alerts about future events.
California Advancing and Innovating Medi-Cal (CalAIM) is a multi-year initiative by the Department of Health Care Services (DHCS) to improve the quality of life and health outcomes of our population by implementing broad delivery system, program and payment reform across the Medi-Cal program. The major components of CalAIM build upon the successful outcomes of various pilots (including but not limited to the Whole Person Care Pilots (WPC), Health Homes Program (HHP), and the Coordinated Care Initiative) from the previous federal waivers and will result in a better quality of life for Medi-Cal members as well as long-term cost savings/avoidance.
CalAIM has three primary goals:
- Identify and manage member risk and need through whole person care approaches and addressing Social Determinants of Health;
- Move Medi-Cal to a more consistent and seamless system by reducing complexity and increasing flexibility; and
- Improve quality outcomes, reduce health disparities, and drive delivery system transformation and innovation through value-based initiatives, modernization of systems, and payment reform.
Medi-Cal RX Resources:
CalAIM Resources:
- Managed Care Plan County of San Diego Letter of Support Request
- CalAIM Board of Supervisors Letter 7-13-21
- CalAIM MCO Letter of Support Instructions/Guidelines 12-2-21
- State CalAIM website
- CalAIM 1115 Demonstration & 1915(b) Waiver
- CalAIM County Letter of Support Instructions
- September 29th Community Forum power point presentation
- Cal-SDAIM Community Forum Q&A
- San Diego County Community Supports 12-29-2021
- Final LOS Aetna Better Health of California
- Final LOS Blue Shield of California
- Final LOS Community Health Group
- Final LOS HealthNet
- Final LOS Molina Healthcare
- Final LOS UnitedHealthcare Community Plan of California
- County and Behavioral Health Services Contracted Providers
For questions and feedback on SDAIM, please contact: SDAIM.HHSA@sdcounty.ca.gov