CalAIM Statewide Older Adult Collaborative

With Archstone Foundation support, California Health Policy Strategies (CalHPS) is leading a CalAIM Statewide Older Adult Collaborative (formerly the CalAIM Statewide Dementia Care Learning Collaborative) to support community-based organizations serving Medi-Cal eligible older adults at high risk of institutionalization and in need of long-term care.

Join our mailing list to receive updates on the CalAIM Statewide Older Adult Collaborative. This page will be updated with meeting recordings and slides, upcoming meetings and registration links, and additional resources.

Background Materials

Read the CalHPS Overview and Level-Setting report to learn why and how we are convening learning collaborative members to integrate community-based dementia programs and other programs serving older adults into CalAIM.

To learn more about Archstone Foundation’s vision to improve care coordination for older adults, especially older adults with dementia, read this post from our Point of View blog.

At the start of our Learning Collaborative, we commissioned a report from experts in dementia care at UCSF, entitled How CalAIM Supports Best Practices in Dementia Care. We encourage all learning collaborative participants to review and share this timely report.

Resources

• Enhanced Care Management Provider List
  This dataset includes all ECM providers by managed care plan, population of focus, county, city, zip code, and address.
  

• Enhanced Care Management Populations of Focus: Enrollment Data by County and Managed Care Plan (updated January 2025)
  This report features ECM enrollment data, stratified by county and managed care plan by populations of focus. This data is from the calendar year 2023 by quarter to 2025 Q2 and can identify trends in ECM enrollment and coverage.

• DHCS: ECM Policy GUIDE (updated August 2024)
• DHCS: ECM Referrals Standards and Form Templates (updated August 2024)
• DHCS: ECM and CS Resource Page
  
• Medi-Cal Managed Care Plans ECM Referral Forms (links by county for ECM referral forms and information guide)
  
• HealthNet ECM Referral Form
• IHSS ECM Toolkit for County IHSS Social Workers and Public Authority Staff

Webinar Recordings

The CalAIM Information & Referral Highway to ECM Enrollment What Organizations Need to Know | June 2024

Archstone Foundation with support from the California Department of Aging and Department of Health Care Services provides information on CalAIM’s benefits of Enhanced Care Management and Community Supports, and the strategies used to support referrals and warm-handoffs for enrollment.

Medi-Cal 101: An overview of California's Medicaid program | December 2024

Medi-Cal 101 is a 2-part webinar series that provides an essential overview of Medi-Cal, California’s Medicaid program led by Jane Ogle, the former Deputy Director for Healthcare Delivery Systems at the California Department of Health Care Services, and former COO at Santa Clara Family Health Plan.

One Big Bill, Not So Beautiful: The Real Implications of H.R. 1 for Older Adults | September 2025

This webinar on H.R. 1 describes many changes to health care and other programs serving older adults, including timelines, what to watch for from the federal and state governments in the coming months, and opportunities for advocacy on these important issues.

Connecting Recipients of IHSS to Enhanced Care Management (ECM): A Toolkit for Social Workers and Public Authority Staff | November 2025
Link to toolkit

In this webinar Cathy Senderling-McDonald, CalHPS consultant, walks through the toolkit materials and discusses with panelists the potential benefits of increasing referrals for ECM for this population and how the toolkit can help. Toolkit is available here.

Recording
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Slides
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Topic: Skilled Nursing Facility Transitions and Referral to ECM
Meeting #15: Wednesday, February 12
Guest Speakers:
DeAnn Walters, Director of Clinical Affairs & Quality Improvement; California Association of Health Facilities
Dustin Harper, Chief Strategy Officer, Institute on Aging
Aurelia Zamarripa, Manager, Practice Coach – ECM. Inland Empire Health Plan

Agenda
Recording Passcode: tZTg4b$=
Slides
Zoom Chat
ECM Populations of Focus: Enrollment Data by County and Managed Care Plan (updated January 2025)
DHCS All Comer Webinar on Closed-Loop Referral Implementation Guidance - February 13, 2025
To CalAIM or Not to CalAIM?
Managerial Training Series - Alameda County
Managerial Training Series - Central Valley

Topic: In-Home Supportive Services (IHSS) Program Referrals
Meeting #14: Wednesday, January 15, 2025
Guest Speaker: Cathy Senderling-McDonald, former Executive Director of the County Welfare Directors Association of California (CWDA)
Agenda
Recording
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Topic: Enhanced Care Management Implementation for Long-term Care Populations (continued)
Meeting #13: Tuesday, December 3, 2024
Guest speaker: Dr. Laura Miller from DHCS will join us for a second time to discuss the specific challenges of serving Long-term Care populations
Agenda
Recording
DHCS Enhanced Care Management POF Spotlight Paper on Long-Term Care Populations

Topic: Enhanced Care Management for Long-Term Care Populations Spotlight
Meeting #12: Wednesday, November 13, 2024
Guest speaker: Dr. Laura Miller, California Department of Health Care Services
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DHCS Enhanced Care Management POF Spotlight Paper on Long-Term Care Populations
Slides

Meeting #11: Wednesday, October 9, 2024
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ECM Provider List

Meeting #10: Wednesday, September 11, 2024
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Recording
Enhanced Care Management Populations of Focus: Enrollment Data by County and Managed Care Plan

Meeting #9: Wednesday, August 14, 2024
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Meeting #8: Wednesday, June 12, 2024
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Meeting #7: Wednesday, May 15, 2024
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Recording (Passcode: #CpPW4+N)
California TA Marketplace Website
TA Marketplace
TA Marketplace Filters
ECM Self-Referral

Meeting #6: Wednesday, April 17, 2024
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Recording (Passcode: o$P2%78X)
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Meeting #5: Wednesday, March 13, 2024
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Recording (Passcode: 09#0KVr^ )
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Meeting #4: Wednesday, February 14, 2024
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HealthNet Presentation Slides
Partners in Care Foundation - Community Care Hub

Meeting #3: Wednesday, January 17, 2024
Notes
Recording (Passcode: XAV^5v00)
Chat Transcript (Passcode: XAV^5v00)

Meeting Materials

Community-Based Organizations Workgroup

All further CBO Workgroup meetings have transitioned to office hours with Darren Xanthos. Please email Darren at dxanthos@xhealthsolutions.com to schedule.

Meeting #1: Friday, November 17, 2023

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Meeting #2: Friday, December 15, 2023

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Meeting #3: Thursday, January 18, 2024

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DHCS - Enhanced Care Management and Community Supports HCPCS Coding Guidance
Medi-Cal Managed Care Plans ECM Referral Forms (links by county for ECM referral forms and information guide)
HealthNet ECM Referral Form

Meeting #4: Thursday, February 22, 2024

Slides
Recording (Passcode: 3ttQ8q9+)

Dementia-Specific Workgroup

Meeting #1: Friday, November 17, 2023

Notes
Recording (Passcode: y5Z.h.0r)
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Meeting #2: Thursday, December 14, 2023

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Recording (Passcode: sWK5r=8f)
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Meeting #4: Wednesday, February 21, 2024

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All further workgroups for Dementia Care will be absorbed into the larger Learning Collaborative meetings.

Meeting #3: Friday, January 12, 2024
Enhanced Care Management & Community Supports Eligibility Discussion

Agenda
DHCS: ECM Policy GUIDE
Recording (Passcode: 0je.h!sE)
Chat Transcript (Passcode: 0je.h!sE)
DHCS: CalAIM ECM and Community Support for Older Adults and People with Disabilities

Meeting #2: Friday, December 1, 2023

Report: How CalAIM Supports Best Practices in Dementia Care
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Notes
Recording (Passcode: BiH@j.a4)

Meeting #1: Friday, October 27, 2023

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