Alameda County CalAIM PATH Collaborative Resource Center
The Alameda CalAIM PATH Collaborative, facilitated by BluePath Health, is part of the California Department of Health Care Services (DHCS) Providing Access and Transforming Health Initiative (PATH). Below are two resources detailing providers in Alameda County offering Enhanced Case Management (ECM) and Community Supports (CS). Both resources contain identical information; one is a PDF version, and the other is a sortable version. Please use the version that best meets your needs. If you have questions or updates to our provider list, please email us at info@bluepathhealth.com. |
Events
Monthly Meeting
The Alameda County PATH Collaborative brings together health plans, county leaders, community-based organizations, hospitals, clinics, and other CalAIM stakeholders to discuss CalAIM implementation and the rollout of Enhanced Care Management (ECM) and Community Supports (CS). The Collaborative is a space to share innovative strategies, problem-solve together, and build relationships to better serve Medi-Cal members in Alameda County.
Questions? Contact pathinfo@bluepathhealth.com
Alameda County Training and Development Unit (ACTDU) Trainings
To register for these trainings and more, visit ACTDU to log in or create an account (it’s easy!)
Alameda County Resources
Alameda Care Coordination Provider Spreadsheet (Sept. 2024)
Alameda Care Coordination Provider List (Sept. 2024)
Personal Care and Homemaker Services
Past Events
Library of CalAIM Informational Materials
CalAIM is a multi-year initiative to transform California’s Medi-Cal program with broad delivery system, program and payment reforms. Two core programs of CalAIM are Enhanced Care Management (ECM) to provide case management for certain members with complex needs and Community Supports to deliver services that meet health and health-related needs.
- Glossary of Health Insurance and Coverage Terms
- What is Medi-Cal?
- CHCF Medi-Cal Explained: New Medi-Cal Services at a Glance (2020–2023)
- ITUP Engaging with CalAIM: Quick Links for Community-Based Organizations
- Medi-Cal Waivers Overview
- CalAIM ECM and Community Supports FAQs (August 2022)
- CHCF The Role of Community-Based Organization Networks in CalAIM: Seven Key Considerations
- CHCF Plain and Clear: Making Medi-Cal Communications Easy to Understand
Enhanced Care Management (ECM) is a case management benefit that certain members with complex needs can qualify for by meeting Population of Focus criteria. Below includes ECM policy explainers and member outreach tools to support member enrollment.
- Recordings of 2022 DHCS CalAIM Informational Webinars
- DHCS ECM Policy Guide
- ECM Implementation Timeline and Populations of Focus
- ECM Member Toolkit
- ECM Outreach Toolkit
- ECM Provider Toolkit
- Sorting and Filtering MIF Data
- ECM Outreach Practices, MedZed Presentation Slides
- DHCS Spotlight: Enhanced Care Management for Children and Youth
Community Supports connects members to services that address health and health-related social needs, including temporary housing and medically-tailored meals. Below includes Community Supports policy explainers and tools to help local providers deliver available services in their community.
- Recordings of 2022 DHCS CalAIM Informational Webinars
- DHCS Community Supports Program Overview
- DHCS-Approved Community Supports Services
- DHCS Community Supports Policy Guide
- Get Ready: A Contracting Best Practices Guide for Becoming a Medicaid Community Supports Provider
- Housing-Related Community Supports: A Handbook for Managed Care Plans
- CalAIM Housing Supports Best Practices
- NAEH Rapid Rehousing Toolkit
- Checklist to Align with Housing First Practices from Project Roomkey
- Building Connections Between Medical Respite Care and Permanent Housing: CHCS Presentation Slides
- Making CalAIM Work for Older Adults Experiencing Homelessness Brief
- Financial Planning for Street Medicine Providers in California Toolkit
- Sobering Centers Explained
This section contains relevant guidance for contracted ECM and Community Supports providers from the Department of Health Care Services (DHCS). There are standardized DHCS program requirements from DHCS that all Medi-Cal managed care plans must comply with, but plans also have the flexibility to set their own program policies in certain areas.
- Policy Guide: Community Supports (July 2023)
- Policy Guide: ECM
- CalAIM Data Guidance: ECM and Community Supports Coding Options (March 2022)
- Billing and Invoice Guidance: ECM and Community Supports (April 2023)
- CalAIM Data Guidance: Member-Level Information Sharing Between MCPs and ECM Providers (April 2023)
- CalAIM Data Guidance: Community Supports Member Information Sharing Guidance (April 2023)
- ECM and Community Supports Standard Provider Terms and Conditions (March 2022)
- ECM and Community Supports Providers NPI Application Guidance
This section contains overviews on the latest ECM and Community Supports program updates from the Department of Health Care Services (DHCS).
Effective patient-centered care requires patient data to be safely shared between health and social service providers to coordinate care and develop an understand of a patient’s full array of needs. Alameda County uses a Community Health Record (CHR) that pulls data from across local organizations through the Social Health Information Exchange (SHIE) for this purpose. If you are not already doing so, consider connecting with the CHR and SHIE to access the data you need to best serve your patients and clients.
Sharing of health and social service information is a core component of CalAIM to coordinate services across providers. To advance interoperability across the state, California’s Data Exchange Framework (DxF) will require most health care organizations to begin sharing data with each other in accordance with the Data Sharing Agreement (DSA) and Policies & Procedures (P&Ps) by January 2024. This section includes key information on DxF, plus additional resources to help local providers share data to support CalAIM.
- What is the California Data Sharing Agreement?
- Data Exchange Framework FAQs
- Data Exchange Framework Information Hub
- Roadmap: How to Sign & Implement the Data Exchange Framework in 10 Steps
- CHCF CalAIM Data Exchange Resources
- Data Exchange Signatory Grants Overview Slides: Introduction to DSA grants, application guidance, ongoing grant support, etc.
- Mandatory Signatories to the DSA, Letter to Plans (September 2023)
- Collecting Social Determinants of Health Data, Letter to Plans (February 2022)
With new Medi-Cal Managed Care contracts going live in 2024, Anthem will be transitioning out of the county as Kaiser Permanente enters to join the Alameda Alliance for Health (AAH) in serving Alameda County. Your PATH facilitators are monitoring the transition period to ensure a seamless transition for Medi-Cal members receiving ECM and Community Supports services.
Submit this referral form to REGMCDURNs-KPNC@kp.org with the subject line “ECM Referral” or “CS Referral.”
Phone
Call 1-833-721-6012 (TTY 711)
Monday-Friday (closed major holidays) | 9:00 a.m. to 4:45 p.m.
Alameda PATH Collaborative Participation List
18 Reasons
24 Hour Home Care
Abode Services
Ace Care Pharmacy Management
Alameda Alliance for Health
Alameda County Area Agency on Aging
Alameda County Behavioral Health
Alameda County Board of Supervisors
Alameda County California Childrens Services
Alameda County Community Food Bank
Alameda County Health Care Services Agency
Alameda County Public Health
Alameda County Public Health – Community Health Services Division-Asthma Start
Alameda County Recipe4Health
Alameda County Women Infants and Children
Alameda Courts
Alameda Family Services
Alameda Health Consortium (Community Health Center Network)
Alameda Health System
Amazon Web Services (AWS)
American Indian Child Resource Center
Anthem Blue Cross
Archstone Foundation
Asian Health Services (part of Alameda Health Consortium)
Axis Community Health
Balance
Bay Area Community Services
Breathe California of the Bay Area, Golden Gate and Central Coast
California Association of Licensed Midwives
California Collaborative for Long-Term Services and Supports (CCLTSS)
California Health Policy Strategies
California School Based Health Alliance
California WIC Association
Cardea Health
Carl B. Metoyer Center for Family Counseling
Catalight
Center for Independent Living
City of Berkeley
City of Fremont Human Services Department, Fremont Family Resource Center
Depression and Bipolar Support Alliance of California
EA Family Services
East Bay Asian Local Development Corporation
East Bay Innovations
Eden I&R/211 Alameda County
Emcara Health
Family Bridges
Family Resource Navigators
Family Service Agency
First 5 Alameda County
Fresh Approach
Full Circle Health Network
Health Advocates
Health Management Associates
Health Net
Health Plan of San Mateo
Hickman Strategies LLC
HiPaaS Inc.
Home Safety Services
Hope Services
Hospital Council Northern & Central California
Humane Prison Hospice Project
HumanGood
Illumination Foundation
Independent Living Systems (ILS)
Innovation Horizons
Institute on Aging
InTouch HomeCare
J&M Homecare Services, LLC
James A Watson Wellness Center
Journey Health
Kaiser Permanente
Kerry Landry Health Care Consulting
La Clinica De La Raza
La Familia
Lao Family Community Development, Inc.
Libertana
LifeLong Medical Care
LifeSTEPS
LifewiseCHM
Manifest Medex
Master Care, Inc.
MedZed
MidPen Housing
ModifyHealth
Moms Meals
Monterey County
National Healthcare and Housing Advisors
Native American Health Center (part of Alameda Health Consortium)
Nonprofit Finance Fund
On Lok
One Degree
Open Heart Kitchen
Pacific Clinics
Pacific Health Group
Pacific Home Care Servies
Pair Team
Partners in Care Foundation
Peer Wellness Collective
Performance Kitchen
PointClickCare
PopHealth Solutions
Project Open Hand
Rebuilding Together Oakland | East Bay
Reinvestment Partners
ROOTS Community Health Centers
RPM CCM
SageSurfer
Satellite Affordable Housing Associates
SEIU Local 2015
Seneca Family of Agencies
Senior Services Coalition of Alameda County
Serene Health
Sprite Health
SPUR
St. Marys Center
Stars Behavioral Health Group
Sutter Health
Tiburcio Vasquez Health Center
Titanium Healthcare
UCSF Benioff Children’s Hospital Oakland
Ujima
Unite Us
United Way Bay Area
United Ways of California
Vital Link Medical Alert Systems
Wellbrook Partners
Wellness Equity Alliance (WEA)
Wellpath
West Oakland Health Center