What is the Los Angeles CalAIM Roundtable?

L.A. Care and Health Net* are working together to implement a robust stakeholder engagement process focused on two important programs being implemented under CalAIM: Enhanced Care Management (ECM) and Community Supports (CS).

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About the Los Angeles County CalAIM Roundtable

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.

What can participants expect?

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.

Who joins?

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:

  • County social services agencies
  • County behavioral health care systems
  • County and local public health care jurisdictions 
  • Community-based organizations 
  • Correctional facilities and partners  
  • Housing continuum providers
  • Federally Qualified Health Centers (FQHCs)
  • Medi-Cal primary care providers
  • Public health care systems/hospitals  
  • Tribes and tribal health care providers
  • ECM and CS providers

Needs Assessment and Gap Filling Plans

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.

L.A. Care

Narrative | Measures

Health Net

Narrative | Measures


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Roundtable Updates: Coming Soon

Los Angeles County CalAIM Roundtable Calendar

LOS ANGELES COUNTY CalAIM ROUNDTABLE

Frequently Asked Questions (FAQ)

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  • 1. What date does Enhanced Care Management (ECM) go into effect?

    The ECM benefit launched in Los Angeles County on January 1, 2022. All MCPs are required to provide the ECM benefit. For more general information on ECM statewide, please refer to the DHCS Enhanced Care Management Policy Guide, linked here.
  • 2. How do Medi-Cal members access ECM Services?

    The ECM benefit is available to Medi-Cal managed care plan members who meet the “Population of Focus” criteria. More information on populations of focus can be found in the ECM policy guide. Members can be identified for ECM through their MCP, provider, family/caregiver, community-based organizations (CBOs), or via a self-referral. Providers can submit a referral form to the individual’s Medi-Cal managed care plan (MCP). If you have additional questions, please contact the MCP directly for guidance.
  • 3. What is the process to become an ECM Provider?

    MCPs have collaborated on a joint ECM certification application process. Please reach out to each MCP you are interested in contracting with. For L.A. Care, please note that they open their ECM certification application window every six months. Health Net accepts certification applications on a rolling basis.

Contact CalAIM Roundtable

For general questions, or to sign up for our mailing list, email us at LACalAIMRoundtable@transformhc.com. We will get back to you within three business days.


Contact CalAIM Roundtable