RESOURCES
The Alameda County PATH Collaborative brings together health plans, county leaders, community-based organizations, hospitals, clinics, and other CalAIM stakeholders to discuss CalAIM implementation and the rollout of Enhanced Care Management (ECM) and Community Supports (CS).
The Collaborative is a space to share innovative strategies, problem-solve together, and build relationships to better serve Medi-Cal members in Alameda County.
EVENTS
The Alameda County PATH Collaborative brings together health plans, county leaders, community-based organizations, hospitals, clinics, and other CalAIM stakeholders to discuss CalAIM implementation and the rollout of Enhanced Care Management (ECM) and Community Supports (CS). The Collaborative is a space to share innovative strategies, problem-solve together, and build relationships to bette serve Medi-Cal members in Alameda County.
To register for trainings and more, visit ACTDU to log in or create an account (it’s easy!)
RESOURCES
Kaiser Permanente ECM and Community Supports Referral Information
Call 1-833-721-6012 (TTY 711) with ECM or Community Supports questions
Business Hours: Monday-Friday (closed major holidays) | 9:00 a.m. to 4:45 p.m.
Alameda Alliance for Health ECM and Community Supports Referral Forms and Resources
Community Supports Referral Form
Asthma Remediation Approval Request Form
Caregiver Respite Services Approval Request Form
Diversion and Transition to Home Approval Request Form
Home Modifications Approval Request Form
Housing Community Supports Approval Request Form
Medical Respite (Recuperative Care) Approval Request Form
Medically Tailored Meals/Medically Supportive Food Approval Request Form
RESOURCES
RESOURCES
CalAIM is a multi-year initiative to transform California’s Medi-Cal program with broad delivery system, program and payment reforms. Two core programs of CalAIM are Enhanced Care Management (ECM) to provide case management for certain members with complex needs and Community Supports to deliver services that meet health and health-related needs.
Enhanced Care Management (ECM) is a case management benefit that certain members with complex needs can qualify for by meeting Population of Focus criteria. Below includes ECM policy explainers and member outreach tools to support member enrollment.
Community Supports connects members to services that address health and health-related social needs, including temporary housing and medically-tailored meals. Below includes Community Supports policy explainers and tools to help local providers deliver available services in their community.
Key Resources, Trainings, and Referral Forms for CalAIM Services for the Children and Youth Population in Alameda County.
This section contains relevant guidance for contracted ECM and Community Supports providers from the Department of Health Care Services (DHCS). There are standardized DHCS program requirements from DHCS that all Medi-Cal managed care plans must comply with, but plans also have the flexibility to set their own program policies in certain areas.
This section contains overviews on the latest ECM and Community Supports program updates from the Department of Health Care Services (DHCS).
Effective patient-centered care requires patient data to be safely shared between health and social service providers to coordinate care and develop an understand of a patient’s full array of needs. Alameda County uses a Community Health Record (CHR) that pulls data from across local organizations through the Social Health Information Exchange (SHIE) for this purpose. If you are not already doing so, consider connecting with the CHR and SHIE to access the data you need to best serve your patients and clients.
Sharing of health and social service information is a core component of CalAIM to coordinate services across providers. To advance interoperability across the state, California’s Data Exchange Framework (DxF) will require most health care organizations to begin sharing data with each other in accordance with the Data Sharing Agreement (DSA) and Policies & Procedures (P&Ps) by January 2024. This section includes key information on DxF, plus additional resources to help local providers share data to support CalAIM.
With new Medi-Cal Managed Care contracts going live in 2024, Anthem will be transitioning out of the county as Kaiser Permanente enters to join the Alameda Alliance for Health (AAH) in serving Alameda County. Your PATH facilitators are monitoring the transition period to ensure a seamless transition for Medi-Cal members receiving ECM and Community Supports services.
RESOURCE
