The Whole Person Care (WPC) program was implemented under the “Medi-Cal 2020,” a Section 1115 Medicaid Waiver from January 1, 2016 to December 31, 2021 and was focused on high-risk, high-utilizing enrollees with multiple service needs. A total of 25 Pilots, representing the majority of counties in California, implemented WPC and started enrollment in January 2017. The overarching goal of WPC was to improve health and wellbeing by coordinating care across physical health, behavioral health, and social service sectors. Pilots consisted of 27 Lead Entities (LEs) with expertise and resources to implement the program and form a public private partnership. Pilots were required to target one or more of the following six populations: (1) high utilizers of avoidable emergency department, hospitals, or nursing facilities (high utilizers); (2) individuals with two or more chronic physical conditions (chronic physical conditions); (3) individuals with severe mental illness and/or substance use disorders (SMI/SUD); (4) individuals experiencing homelessness (homeless); (5) individuals at-risk-of-homelessness; and (6) individuals recently released from institutions, including jail or prison (justice-involved). In the third quarter of 2020, a seventh target population was added to include individuals impacted by or at-risk of COVID-19. The total budget for WPC was $3 billion, with the approved 5-year budgets for participating Pilots ranging from $7,247,500 (Solano County) to $1,572,976,930 (Los Angeles County).
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