Tri-Counties CalAIM PATH Collaborative Resource Center
The Tri-Counties Collaborative Planning and Implementation Group comprises San Luis Obispo, Santa Barbara, and Ventura Counties. The collaborative meets monthly to discuss CalAIM implementation and support the rollout of Enhanced Care Management (ECM) and Community Supports. Health plans, county leaders, community-based organizations, hospitals, clinics, and other CalAIM stakeholders are encouraged to join. The Medi-Cal managed care plans in this region include CenCal Health (San Luis Obispo, Santa Barbara) and Gold Coast Health Plan (Ventura). The Tri-Counties Collaborative is facilitated by BluePath Health.
Events
Upcoming Collaborative Meetings
The Tri-Counties 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. The Collaborative is a space to share innovative strategies, problem-solve together, and build relationships to better serve Medi-Cal members in San Luis Obispo, Santa Barbara and Ventura counties.
Questions?
Contact pathinfo@bluepathhealth.com
Santa Barbara and San Luis Obispo Resources
CenCal Health Providers
CenCal Community Supports Providers
CenCal Enhanced Care Management (ECM) Providers
Santa Barbara and SLO Job Aids
Ventura Resources
Ventura County Providers
Gold Coast and Kaiser Permanente ECM and Community Supports Providers
Gold Coast Community Supports Providers
Gold Coast Enhanced Care Management (ECM) Providers
Ventura County Job Aids
Ventura English Job Aid (6/24)
Ventura Spanish Job Aid (6/24)
Ventura Referrals
Referral Forms:
CalAIM Informational Materials Library
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.
- Glossary of Health Insurance and Coverage Terms
- What is Medi-Cal?
- CHCF Medi-Cal Explained: New Medi-Cal Services at a Glance (2020–2023)
- ITUP Engaging with CalAIM: Quick Links for Community-Based Organizations
- Medi-Cal Waivers Overview
- CalAIM ECM and Community Supports FAQs (August 2022)
- CHCF The Role of Community-Based Organization Networks in CalAIM: Seven Key Considerations
- CHCF Plain and Clear: Making Medi-Cal Communications Easy to Understand
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.
- Recordings of 2022 DHCS CalAIM Informational Webinars
- DHCS Community Supports Program Overview
- DHCS-Approved Community Supports Services
- DHCS Community Supports Policy Guide
- Get Ready: A Contracting Best Practices Guide for Becoming a Medicaid Community Supports Provider
- Housing-Related Community Supports: A Handbook for Managed Care Plans
- CalAIM Housing Supports Best Practices
- NAEH Rapid Rehousing Toolkit
- Checklist to Align with Housing First Practices from Project Roomkey
- Building Connections Between Medical Respite Care and Permanent Housing: CHCS Presentation Slides
- Making CalAIM Work for Older Adults Experiencing Homelessness Brief
- Financial Planning for Street Medicine Providers in California Toolkit
- Sobering Centers Explained
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.
- Policy Guide: Community Supports (July 2023)
- Policy Guide: ECM
- CalAIM Data Guidance: ECM and Community Supports Coding Options (March 2022)
- Billing and Invoice Guidance: ECM and Community Supports (April 2023)
- CalAIM Data Guidance: Member-Level Information Sharing Between MCPs and ECM Providers (April 2023)
- CalAIM Data Guidance: Community Supports Member Information Sharing Guidance (April 2023)
- ECM and Community Supports Standard Provider Terms and Conditions (March 2022)
- ECM and Community Supports Providers NPI Application Guidance
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.
- What is the California Data Sharing Agreement?
- Data Exchange Framework FAQs
- Data Exchange Framework Information Hub
- Roadmap: How to Sign & Implement the Data Exchange Framework in 10 Steps
- CHCF CalAIM Data Exchange Resources
- Data Exchange Signatory Grants Overview Slides: Introduction to DSA grants, application guidance, ongoing grant support, etc.
- Mandatory Signatories to the DSA, Letter to Plans (September 2023)
- Collecting Social Determinants of Health Data, Letter to Plans (February 2022)
Tri-Counties PATH Collaborative Participation List
24 Hour Home Care
5 Cities Homeless Coalition
Access TLC Network
Activate Care
Adventist Health
Advocates for Human Potential
AHPNet
AIHS Corp
Albertsons
American Indian Health and Services
Amgen
Archstone
Bento
CA Collaborative for Long-Term Services and Supports (CCLTSS)
CA Lutheran
CalAim Oxnard Family Circle
California Association of Licensed Midwives
California Rural Legal Assistance
California WIC Association
Camarillo Healthcare District
CAPSLO
Care Connection Transport Services
Care Nodes
CenCal Health
Center for Family Strengthening
Child Development Resources
Children’s Hospital Los Angeles
CommonSpirit Health
Communify SB
Community Memorial Healthcare
Community Solutions
Community Wellness CA
Concise Care Group
Conduent
Cop Health Solutions
Cottage Health
County of Ventura
Department of Social Services
DHJ Services
Dignity Health
Doctors Without Walls
EPath
Esteem Health
First 5 San Luis Obispo County
First 5 Ventura County
FoodX
Fresh & Fabulous
Full Circle Health Network
Genesis Group & Associates
Glen Park Senior Living
Global Empathy Training
Gold Coast Health Plan
Good Samaritan Shelter
HASC
Health Advocates
Health Net
Healthy Lompoc
Helping Hands
Hospital Council Northern & Central California
HP Matters
Immigrant Legal Resource Center
Independent Living Systems
Interface Children & Family Services
Kaiser Permanente
Koinonia Family Services
LAGS Recovery Centers, Inc.
Las Clinicas
Libertana Home Health
Link SLO
LTC Ombudsman Services of San Luis Obispo County
Manifest Medex
Mastodon Solutions
Medical Kitchen
Mom’s Meals
National Health Foundation
New Beginnings Counseling Center
National Healthcare & Housing Advisors
Octavia
Oxnard Family Circle ADHC
Pacific Clinics
Partners in Care Foundation
PathPoint
Primary Care Development Corporation
People’s Self Help Housing
Pathway Family Services
Primary Care Development Corp.
Project Food Box
Promotores Collaborative of San Luis Obispo County
Public Health Alliance of Southern California
Public Health Institute
R Food X
Reinvestment Partners
Roots Food Group
Remote Patient Monitoring and Chronic Care Management
Sanctuary Centers of Santa Barbara
Santa Barbara County
Santa Barbara County Behavioral Health
Santa Barbara County Community Services
Santa Barbara County Health Agency
Santa Barbara County Housing & Community Development
Santa Barbara County Probation
Santa Barbara County Public Health Department
Santa Barbara County Sheriff Dept.
Santa Barbara County Social Services
Santa Barbara County, Housing and Community Development
Santa Barbara Hospice
Santa Cruz HIO
Santa Maria Wisdom Center
Savie Health
Santa Barbara Cottage Hospital
Seneca Family of Agencies
Serene Health
Serrano Advisors
Simi Valley Congregate Living, Inc.
SLO City Fire Department
SLO County
SLO County Health Department (CDC)
SLO County Homeless Services Division
SLO County Public Health
SLO County Sheriff’s Dept.
SLO Lion Eyes
SLO Ombudsman
Sprite Health
Star Nursing
Tangelo
Tastes and Tales
TCRC
The Medical Kitchen
Tiger Legal
Titanium Healthcare
Tri-Counties Regional Center
Unite Us
USC
USC CHLA
Valley Children’s Healthcare
Ventura Community Information Exchange
Ventura County Area Agency on Aging
Ventura County Behavioral Health
Ventura County Community Information Exchange
Ventura County Continuum of Care
Ventura County Health Care Agency
Ventura County Health Care Services Agency
Ventura County Public Health
Ventura County Public Health, California Children’s Service
Ventura County, Child Development Resources
Ventura Family Justice Center
Ventura Medical
Wellpath
Westminster Clinic
Yumlish