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CalAIM, Enhanced Care Management and Community Supports

The waiver renewal, what continues under managed-care authority, and the rules for ECM, Community Supports and the community health worker benefit.

16 updates · 14 sources · 2 analysis

RSSThis week's summary

Where it stands

California submitted its CalAIM 1115 renewal to CMS on May 11; no decision is posted. DHCS still lists its July Community Supports changes as proposed. Health Net is ending its Medi-Cal assisted living benefit for about 3,500 members at year-end.

As of

Based on: California DHCS · California Department of Health Care Services · CalMatters

What to watch

  • CMS's conditions on the 1115 renewal.
  • Changes to individual Community Supports.

What's next

Calendar (.ics)

Timeline

What changed

ECM and Community Supports rules

Open
Show 8 earlier updates

The community health worker benefit

Open

Legislature · California Legislature / Latino Coalition for a Healthy California

AB 403, CHW/Promotora Medi-Cal Services Transparency Act Advances

AB 403 (Asm. Liz Ortega, D-20) would require DHCS, beginning July 1, 2027, to publish an annual analysis of Community Health Worker / Promotora / Representative Medi-Cal benefit utilization, reimbursements, and CHW/beneficiary demographics.

The 1115 waiver renewal

Open
Show 4 earlier updates

Other updates on this issue

Where

Sources

  • California Legislature / Latino Coalition for a Healthy California (2)
  • Aurrera Health Group / DHCS (1)
  • California Department of Health Care Services (1)
  • California Department of Health Care Services (DHCS) (1)
  • California Department of Health Care Services / CMS (1)
  • California DHCS (1)
  • California Health Care Foundation (evaluation by Bright Research Group) (1)
  • CalMatters (Kristen Hwang) (1)
  • Center for Health Care Strategies (1)
  • CHC Consulting Group (1)
  • DHCS / CHCS (1)
  • DHCS CalAIM (1)
  • KTVU (1)
  • NACHC (1)
  • Redheaded Blackbelt (KymKemp) (1)

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