What is the Sacramento County CalAIM Roundtable?

Aetna Better Health, Anthem Blue Cross, Health Net*, Kaiser Permanente, Molina Healthcare and Sacramento County 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).

To learn more about this new collaboration, join our mailing list.

Get Involved

About the Sacramento County CalAIM Roundtable

The Medi-Cal Managed Care Plans (MCPs) in Sacramento County – Aetna Better Health, Anthem Blue Cross, Health Net, Kaiser Permanente, Molina Healthcare in partnership with Sacramento County – 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 women 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 Sacramento 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 Sacramento County 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 Sacramento County CalAIM Roundtable, we will also facilitate topic-specific discussions 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.

In the future, we will issue a newsletter with important program updates.

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 are linked below for your reference.

Aetna Better Health

Narrative | Measures

Anthem Blue Cross

Narrative | Measures

Health Net

Narrative | Measures

Kaiser Permanente

Narrative | Measures

Molina Healthcare

Narrative | Measures

Get Involved

Roundtable Updates: Coming Soon

Sacramento County CalAIM Roundtable Calendar

Sacramento County CalAIM Roundtable

Frequently Asked Questions (FAQ)

View Full FAQ
  • 1. What date do Community Support (CS) services go into effect?

    Community Support (CS) services were launched statewide on January 1, 2022; however, implementation varies by county and MCP. Please visit the DHCS website for a list of the CS services available under individual MCPs and delineated by county. For more general information on CS services, please refer to the DHCS Community Supports Policy Guide, linked here. Effective January 1, 2022, CS services were implemented in Sacramento County.
  • 2. How do Medi-Cal members access CS services?

    There are three ways members can access CS services:
      1. Members who qualify may be contacted directly by their health plan and/or a CS provider. MCPs are responsible for regularly identifying members who may benefit from CS and who meet the criteria for the program. Once a member is identified, the health plan and/or their assigned CS provider will contact them to discuss CS services;
      2. A health and social services provider, including an ECM or CS provider, may submit a referral for members. If a member has not yet been identified by the MCP as eligible for CS services but appears to meet the requirements, their provider can submit a referral to the member’s health plan. The health plan is required to have a referral process that is available for health and social service providers. You do not need to be a clinician to refer someone to CS; and,
      3. Members may self-refer or ask for information to see if they qualify. A member or the member’s family can contact their MCP to see if they qualify for CS services. Members can contact their health plan by calling the number on the back of their insurance card.
  • 3. How do Medi-Cal members access Enhanced Care Management (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, or via a self-referral.

Contact CalAIM Roundtable

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

Contact CalAIM Roundtable