DHCS CalAIM Renewal Plan Lets PATH ($1.85B) Sunset Dec 31, 2026, ECM/CS Capacity Funding NOT Proposed for Extension
DHCS's CalAIM-renewal concept paper (per Aurrera Health's analysis) does NOT propose extending the PATH (Providing Access and Transforming Health) initiative beyond its scheduled December 31, 2026 sunset. PATH funded $1.85B over 5 years for ECM and Community Supports provider capacity-building at FQHCs and CBOs — payments to providers for outreach, technology, infrastructure, and workforce.
This compounds the CalAIM 1115 waiver expiration (Dec 31, 2026, CMS approval pending) creating a December 2026 dual cliff for FQHC ECM/CS infrastructure. PATH-funded positions disproportionately concentrated in: housing navigators, CHWs supporting CalAIM populations, community supports coordinators, and IT/EHR integration roles.
Strategic implication for FQHC CFOs and ECM/CS program directors:
- Audit which staff roles, technology investments, and CBO partnerships are PATH-funded (vs. PPS-funded or APM-funded)
- Model FY27 budget under 'no PATH replacement' scenario
- Engage CPCA + Aurrera Health Group on the CalAIM 'sustainability concept paper' (released March 2026)
- Hold off on PATH-dependent expansion until late-2026 visibility on CMS waiver decision.
Combined with CHC Fund December 2026 CR cliff = triple December cliff for FQHCs (PATH + CalAIM + CHC Fund).
Part of
- CalAIM, Enhanced Care Management and Community Supports
The 1115 waiver renewal · ECM and Community Supports rules
Key points
- May Revise did NOT propose PATH extension — Dec 31, 2026 sunset confirmed
- $1.85B/5yr for ECM + Community Supports provider capacity ending
- Triple December 2026 cliff: PATH + CalAIM 1115 waiver + CHC Fund CR
- Audit PATH-funded staff/tech/CBO lines now — model FY27 'no PATH' scenario
Sources for this story
Aurrera Health Group / DHCSSources for your board packet
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FQHC Talent. (2026, May 14). DHCS CalAIM Renewal Plan Lets PATH ($1.85B) Sunset Dec 31, 2026, ECM/CS Capacity Funding NOT Proposed for Extension. Source: Aurrera Health Group / DHCS. Retrieved September 29, 2026, from https://www.fqhctalent.com/intel/path-1-85b-sunset-confirmed-may-revise-dec-31-2026
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