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On-Demand Learning

CalAIM: Managed Care and Medi-Cal

Education Brief

California Advancing and Innovating Medi-Cal (CalAIM) is a multiyear process led by the California Department of Health Care Services (DHCS), with goals to improve the health outcomes and quality of life experienced by Medi-Cal patients.

CalAIM initiative, originally scheduled for Jan. 1, 2021 implementation, was postponed due to the COVID-19 public health emergency. In January, DHCS released a revised proposal that includes changes based on stakeholder feedback and an updated implementation timeline of Jan. 1, 2022.

These changes to Medi-Cal will have a tremendous impact on hospitals. Some of those changes affect Managed Care.

Topics discussed in this program will include:

  • Medi-Cal Managed Care Overview
  • Proposed Managed Care Changes
  • Overview
  • Proposals to Standardize
  • Regional Rates
  • Implementation

You may also be interested in viewing:

  • CalAIM: The Future of Medi-Cal (recorded webinar 4/6/21)
  • CalAIM: Enhanced Care Management
  • CalAIM: Medical Necessity Behavioral Health
  • CalAIM: Behavioral Health Payment Reform
  • CalAIM: In Lieu of Services

This content is restricted to members.