The Medi-Cal managed care plans (MCPs) in Los Angeles County – L.A. Care and Health Net in partnership with Anthem Blue Cross, Blue Shield of California Promise Health Plan, Kaiser Permanente, and Molina Healthcare – have come together to implement a robust stakeholder engagement process focused on Enhanced Care Management (ECM) and Community Supports (CS) implementation and alignment with existing programs in the county. Transform Health, a woman and minority owned consulting firm, facilitates these engagement efforts.
The CalAIM Roundtables provide a stakeholder forum to identify ECM and CS needs and gaps within the community. These stakeholder efforts will also be leveraged to inform new funding opportunities under the CalAIM Incentive Payment Program (IPP).
The CalAIM Roundtable is an important forum for MCPs and stakeholders in Los Angeles County to come together to understand the needs of providers and communities to provide local investments that support the goals and spirit of CalAIM. There will be multiple opportunities for collaboration as well as for providers to apply for funding to support ECM and CS capacity and infrastructure building.
The CalAIM Roundtable will convene on a regular basis to hear how CalAIM implementation is going, share best practices, collect feedback from stakeholders impacted by CalAIM changes, and to determine how IPP and Providing Access and Transforming Health (PATH) funding can support implementation. For more information on PATH initiatives, including funding opportunities available to ECM and CS providers, check out their website.
As part of the CalAIM Roundtable, we will also stand up topic-specific advisory groups to focus discussion on priority areas that are most critical to achieving CalAIM objectives and allow a smaller group of organizations to engage in discussions and develop recommendations for funding. These advisory groups will report back regularly at the larger CalAIM Roundtable meetings.
Providers and other stakeholders may participate in CalAIM Roundtable meetings. Attendees provide feedback on IPP community investments and may also apply for IPP funding. CalAIM Roundtable stakeholders include, but are not limited to, the following organizational types:
In December 2021, all Managed Care Plans were required to submit Needs Assessment and Gap Filling Plans in every county they serve in order to participate in the CalAIM Incentive Payment Program (IPP). All Needs Assessment and Gap Filling Plans can be found on the DHCS website here. The Needs Assessment and Gap Filling Plans for L.A. Care and Health Net are linked below for your reference.