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   # 31.
Board of Supervisors
Meeting Date:
03/07/2023
Brief Title
CalAIM Implementation Update
From:
Nolan Sullivan, Director, Health and Human Services Agency
Staff Contact:
Karleen Jakowski, Assistant Director, Health and Human Services Agency, x2978
Supervisorial District Impact:
Countywide

Subject

Receive an update on California Advancing and Innovating Medi-Cal (CalAIM) Implementation in Yolo County. (No general fund impact) (Sullivan)

Recommended Action

Receive an update on CalAIM implementation in Yolo County. 

Strategic Plan Goal(s)

Thriving Residents

Reason for Recommended Action/Background

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. It is a statewide initiative that is being rolled out by the Department of Healthcare Services (DHCS) and is the responsibility of Managed Care Plans (MCPs) to implement in their jurisdictions. The three goals of CalAIM are:
  1. Identify and manage comprehensive needs through whole person care approaches and social drivers of health.
  2. Improve quality outcomes, reduce health disparities, and transform the delivery system through value-based initiatives, modernization, and payment reform.
  3. Make Medi-Cal a more consistent and seamless system for enrollees to navigate by reducing complexity and increasing flexibility.
CalAIM includes ten major initiatives with implementation dates ranging from 2022 to 2027. DHCS is providing guidance to stakeholders as it becomes available. More substantive guidance is available for the initiatives with the earliest implementation dates. These include behavioral health delivery system reform, and two new services for Medi-Cal managed care plan members.  More information about CalAIM can be found on the DHCS CalAIM website. 

During the past 21 months, HHSA has been preparing for CalAIM implementation, both internally and collaboratively with our partner agencies and Partnership HealthPlan of California. On July 12, 2022 HHSA provided the Board with a presentation to share an overview of the initiatives with the earliest implementation dates. At this meeting, HHSA will provide an update on additional work completed since the July 12th presentation and HHSA’s ongoing efforts to prepare for full CalAIM implementation in Yolo County.

Collaborations (including Board advisory groups and external partner agencies)

Partnership HealthPlan of California
Provider Stakeholder Workgroup
Local Mental Health Board
Substance Use Disorder (SUD) Providers
Dignity Health
Sutter Health
Dr. Bradley Gilbert
 

Fiscal Impact

No Fiscal Impact

Fiscal Impact (Expenditure)

Total cost of recommended action:
$   
Amount budgeted for expenditure:
$   
Additional expenditure authority needed:
$   
On-going commitment (annual cost):
$   

Source of Funds for this Expenditure

General Fund
$0

Attachments

Form Review

Form Started By:
tdickinson
Started On:
07/14/2022 01:55 PM
Final Approval Date:
02/22/2023