CalAIM Waiver Expires December 31, 2026 — $1.2B in ECM/Community Supports at Risk
California's CalAIM 1115 and 1915(b) waivers expire December 31, 2026. DHCS has indicated it will seek renewal, but no formal application has been submitted. If not renewed, $1.2 billion annually in ECM and Community Supports funding disappears — threatening thousands of care coordination, CHW, and housing navigator positions at FQHCs statewide. Combined with the CHCF authorization cliff (also December 2026), this creates a double uncertainty event for the safety net.
Key takeaways
- CalAIM 1115 and 1915(b) waivers expire December 31, 2026 — no formal renewal application submitted
- $1.2B annually in ECM and Community Supports at risk — thousands of positions statewide
- Combined with CHCF authorization cliff (also Dec 2026) = double uncertainty event for safety net
Primary source
Center for Health Care Strategies / DHCSFQHC Talent. (2026, March 9). CalAIM Waiver Expires December 31, 2026 — $1.2B in ECM/Community Supports at Risk. Primary source: Center for Health Care Strategies / DHCS. Retrieved April 28, 2026, from https://www.fqhctalent.com/intel/calaim-waiver-expiration-dec-2026
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