TITLE
Recommendation to authorize City Manager or designee, to execute an agreement, and all necessary documents or subsequent amendments, including amending the award amount, with the California Department of Health Care Services Capacity and Infrastructure Transition Expansion and Development (CITED) Program, under the Providing Access and Transforming Health (PATH) Initiative (PATH-CITED), to accept and expend grant funding in the amount of $554,323 for the transition, expansion, and development of Enhanced Care Management (ECM) and Community Supports capacity and infrastructure, under the California Advancing and Innovating Medi-Cal (CalAIM) initiative, for a period of eighteen (18) months, with the option to extend the agreement for an additional one-year period, at the discretion of the City Manager; and
Increase appropriations in the Health Fund Group in the Health and Human Services Department by $554,323 offset by grant revenue. (Citywide)
DISCUSSION
California Advancing and Innovating Medi-Cal (CalAIM) is a new initiative by the California Department of Health Care Services (DHCS) to improve the quality of life and health outcomes of Medi-Cal members by implementing broad delivery system, program, and payment reform across the Medi-Cal program. CalAIM seeks to: establish a population-health management framework to address social determinants of health and improve health equity statewide; focus on an Enhanced Care Management (ECM) approach; and fund Community Supports (CS), which will serve as cost-effective alternatives to covered services in the Medi-Cal managed care delivery system.
CalAIM is comprised of interdisciplinary approaches to care that address the clinical and non-clinical needs of high-cost and/or high-need populations (populations of focus) in Medi-Cal through a systematic coordination of services and comprehensive, community-based care management. Populations of focus are defined as high-utilizers of emergency services, people ex...
Click here for full text