CalAIM (California Advancing and Innovating Medi-Cal) is a far-reaching, multiyear plan with the ambitious goal to improve outcomes for the millions of Californians with complex needs, especially people experiencing or at risk of experiencing homelessness. While Medi-Cal has not historically paid for housing or shelter, CalAIM opens the door to a stronger whole-person approach to care and to address the social factors that impact the health of people experiencing or at risk of experiencing homelessness. CalAIM’s Enhanced Care Management (ECM) and housing-related Community Supports (CS) are avenues by which managed care plans (MCPs) can fund the care coordination and housing-related services many people need to stabilize after inpatient care and to locate, transition into, and remain healthy in permanent housing, which is essential to ending homelessness and meeting the complex health needs for unhoused Californians. To accomplish its goals, CalAIM relies on MCPs to implement integrated care models at the community level. MCPs will need to seek out and collaborate with new partners in the homeless services, affordable housing, and supportive housing sectors (collectively referred to in this handbook as the “housing-related sector”) to successfully deliver on the whole-person approach to care. Positive health outcomes for unhoused MCP members depend on access to permanent, affordable housing and the support services necessary to stabilize in housing. The purpose of this handbook is to help MCPs navigate what may be unfamiliar territory and support MCPs in establishing and strengthening partnerships with housing-related sector partners. It provides key considerations, useful steps, and best practices that MCP staff will need to successfully implement the housing-related CS.
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