Enhanced Care Management and Community Supports: Community Data Fact Sheets
In 2022, California’s Department of Health Care Services (DHCS) launched California Advancing and Innovating Medi-Cal (CalAIM), a sweeping initiative that aims to deliver coordinated, holistic care for Medi-Cal (California’s Medicaid program) members with the most complex needs, including people experiencing or at risk of homelessness. Through CalAIM, the State is leveraging federal Medicaid flexibilities to pay for housing-related services. Two key CalAIM programs introduced in 2022 have significant implications for people experiencing or at risk of homelessness: Enhanced Care Management (ECM) and Community Supports. Taken together, these two programs create a unique opportunity to better serve people experiencing homelessness.
As a result of the scale and complexity of CalAIM, ECM and Community Supports have been slow to fully roll out. There are still hundreds of thousands of Medi-Cal members across the state likely eligible but not enrolled in either program. Participation in both programs is steadily increasing and with time, enrollment is expected to grow.
These facts sheets use publicly available data to provide a snapshot of engagement by people experiencing homelessness with ECM and Community Supports, in California as a whole and in each of the state's homeless response Continuums of Care. Each fact sheet visually depicts a number of data points to shed light on the utilization of ECM and housing-related Community Supports among unsheltered people most likely in need of and eligible for those services.