California Statewide Initiatives to Address Complex Needs of People Experiencing Homelessness
Key Takeaways from the Implementation of the Department of Health Care Services’ Systems Integration Efforts
2025
California's efforts to address homelessness have increasingly focused on building partnerships between health care and homeless response systems.
This suite of reports, developed by Homebase and funded by the California Health Care Foundation, offers a deep dive into the impact, challenges, and opportunities made possible by two critical and complementary state initiatives aimed at improving health and housing outcomes of Californians experiencing homelessness: CalAIM’s housing-related services – Enhanced Care Management (ECM) and Community Supports (collectively referred to in these materials as ECM/CS) –and the Housing and Homelessness Incentive Program (HHIP).
These materials highlight the impacts of both initiatives on cross-system collaboration between Medi-Cal managed care plans (MCPs) and homelessness response systems throughout the state. The takeaways highlight the ability of people experiencing homelessness to access new Medi-Cal housing services and resources, as well as the effects these programs have had on the ecosystem of providers, homeless systems of care, MCPs, and government agencies that serve Medi-Cal members.
The key findings and analysis of successes and challenges can inform improvements in the ongoing implementation of ECM and Community Supports as well as the future design, development, and implementation of other programs aimed at facilitating cross-system collaboration to improve health and housing outcomes for vulnerable Californians.
Download the full suite of reports or select from the list below.
Enhanced Care Management (ECM) and Community Supports: Community Data Fact Sheets
These fact 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 (CoC). 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. Download the full set of fact sheets by clicking the link above, or select from the list below.
