Current Initiatives

California Advancing and Innovating Medi-Cal

(CalAIM)

Senior with Caregiver

What is CalAIM?

CalAIM is a five-year initiative by the Department of Health Care Services (DHCS) to improve the quality of life and health outcomes of the Medi-Cal population by meeting people where they are in life, addressing social drivers of health and breaking down barriers in accessing care. CalAIM offers Medi-Cal members coordinated and equitable access to services that address their physical, behavioral, developmental, dental and long-term care needs. CalAIM is a population health approach that prioritizes prevention and whole-person care. It extends services and supports beyond hospitals and health care settings directly into California communities

The initiative leverages Medi-Cal as a tool to help address many of the complex challenges facing California’s most vulnerable residents, including individuals experiencing homelessness, children with complex medical conditions, justice-involved populations with significant clinical needs and the aging population.

CalAIM has three primary goals:

 1 

Identify and manage member risk and needs through whole-person care approaches and address social determinants of health

 2 

Move Medi-Cal to a more consistent and seamless system by reducing complexity and increasing flexibility

 3 

Improve quality outcomes, reduce health disparities and drive delivery system transformation and innovation through value-based initiatives, modernization of systems and payment reform









Contact Us
Provider Directory
  • Find a Provider
    CalOptima Health works with over 3,700 Orange County physicians, making it easy for our members to get the care they need.

    Check here for our extensive list of providers, health networks, medical groups, hospitals and pharmacies.
Claims
Provider Trainings
  • Trainings by Topic
    View the latest model of care and other educational materials designed to help you and your staff provide care for CalOptima Health members.

Download the free Adobe Reader.

이 웹 사이트에 있는 자료는 PDF 형식으로 제공되며 이를 보려면 무료 Adobe Reader가 필요합니다. Adobe 웹 사이트에서 무료 Adobe Reader를 다운로드 하려면 여기를 클릭하십시오.