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​​​​​​​​​​​​​​​​​​​​​​​​​​​CalAIM Providing Access and Transforming Health ​Initiative​​

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CITED Round 2 application window is now open. The deadline to apply for CITED Round 2 funding is May 31, 2023. 

Learn more and apply for funding.​​​​

​Providing Access and Transforming Health (PATH) is a five-year, $1.85 billion initiative to build up the capacity and infrastructure of on-the-ground partners, such as community-based organizations (CBOs), public hospitals, county agencies, tribes, and others, to successfully participate in the Medi-Cal delivery system as California widely implements Enhanced Care Management and Community Supports and Justice Involved services under CalAIM. Drawing upon the success and lessons learned from the Whole Person Care and Health Homes Pilots, PATH funding will address the gaps in local organizational capacity and infrastructure that exist statewide, enabling these local partners to scale up the services they provide to Medi-Cal beneficiaries. With resources funded by PATH—such as additional staff, billing systems, and data exchange capabilities—community partners will successfully contract with managed care organizations, bringing their wealth of expertise in community needs to the Medi-Cal delivery system. As PATH funds serve to strengthen capacity statewide, particularly among providers and CBOs that have historically been under-resourced, the initiative will help California advance health equity, address social drivers of health, and move towards an equitable, coordinated, and accessible Medi-Cal system.

Authorized under California's Section 1115 waiver, PATH refers to the following aligned programs and initiatives:

  • Support for Implementation of Enhanced Care Management and Community Supports. PATH will support the expansion of the capacity and infrastructure needed to implement Enhanced Care Management and Community Supports, and increase access to services statewide. This involves four integrated initiatives:
    • Whole Person Care Services and Transition to Managed Care Mitigation Initiative: PATH will fund services provided by former Whole Person Care Pilot Lead Entities until the services transition to managed care coverage under CalAIM. This funding will end by January 1, 2024.
    • Technical Assistance Initiative: PATH will provide a virtual “marketplace" that offers hands-on technical support and off-the-shelf resources from vendors to establish the infrastructure needed to implement Enhanced Care Management and Community Supports.
    • Collaborative Planning and Implementation Initiative: PATH will fund regional collaborative planning and implementation efforts among managed care plans, providers, CBOs, county agencies, public hospitals, tribes, and others to promote readiness for Enhanced Care Management and Community Supports.
    • Capacity and Infrastructure Transition, Expansion, and Development (CITED) Initiative: PATH will provide direct funding to support the delivery of Enhanced Care Management and Community Supports services. Entities, such as providers, CBOs, county agencies, public hospitals, tribes, and others that are contracted or plan to contract with a managed care plan can apply to receive funding for specific capacity needs to support the transition, expansion, and development of these specific services.
       
  • Justice-Involved Capacity Building Program. Starting in 2023, PATH will provide funding to support the implementation of statewide CalAIM justice-involved initiatives. This includes support for the implementation of pre-release Medi-Cal enrollment and suspension processes, as well as the delivery of Medi-Cal services in the 90 days prior to release. This includes:
    • Collaborative planning: PATH funding will support correctional agencies, county social services departments, county behavioral health agencies, managed care plans, and others so they can jointly design, modify, and launch new processes aimed at increasing enrollment in Medi-Cal and continuous access to care for justice-involved youths and adults.
    • Capacity and Infrastructure: PATH funding will support correctional agencies, institutions, and other justice-involved stakeholders as they implement pre-release Medi-Cal enrollment and suspension processes.
Download the factsheet about the CalAIM ​initiative Providing Access and Transforming Health. ​

Important Updates

  • On March 21, 2023, DHCS released guidance on retroactive funding requests related to the Providing Access and Transforming Health (PATH) Justice-Involved Round 2 application window, which closes on March 31. DHCS will review requests on a case-by-case basis and reserves the right to reject retroactive funding requests or to approve them at a lesser amount than the entity's initial investment or the applicant's requested amount. Retroactive funding requests will be subject to strict requirements. Access the frequently asked questions document at CA PATH Justice Involved webpage to learn more. ​​

  • On February 28, 2023, DHCS opened the PATH CITED Round 2 application window. The CITED initiative provides funding to build up the capacity and infrastructure of on-the-ground partners, such as community-based organizations, public hospitals, county agencies, Tribes, and others, to successfully participate in the Medi-Cal delivery system as California widely implements Enhanced Care Management and Community Supports under California Advancing and Innovating Medi-Cal. The deadline to apply for CITED Round 2 funding is May 31, 2023. For more information and to apply, visit the CA Path CITED webpage.

  • On February 27, 2023, DHCS opened the PATH Technical Assistance (TA) Marketplace Project Eligibility Application window. Medi-Cal service providers who have submitted a Recipient Registration Form and have been approved as a TA recipient may now shop and apply for TA services and receive assistance building and delivering successful Enhanced Care Management and Community Supports services. Learn more about the PATH TA Marketplace, including how to submit a Recipient Registration Form.

  • On January 31, 2023, DHCS announced  the award recipients for Providing Access and Transforming Health (PATH) Capacity and Infrastructure, Transition, Expansion, and Development (CITED) Round 1A funding. Awardees will use the funds to help implement and deliver successful Enhanced Care Management and Community Supports services. The CITED Round 2 application window opened on February 28, 2023. Learn more at the ca-path.com/cited.
    • ​Upcoming office hour: A virtual office hour session will be held on April 4 at 1 p.m. for CITED Round 1A and Round 1B awardees. The session will discuss the streamlined progress reporting process and answer any questions about the updated progress report guidance document. ​

  • On January 30, 2023, DHCS opened the PATH Justice-Involved Round 2 application window. Round 2 funding supports correctional agencies, institutions, and other justice-involved stakeholders as they implement pre-release Medi-Cal enrollment and suspension processes. Access more information and to apply at CA PATH Justice Involved webpage.

    • Upcoming office hours: Virtual office hours will be held on March 16 and 30 at 12 p.m. ahead of the March 30 application deadline. Advanced registration required. 

Key Documents

​WPC Services and Tra​​nsition to Managed Care Mitigation

Collaborative Planning and Implementation 

​Informational Webinars​

To support stakeholder planning and implementation, DHCS hosts informational webinars to provide PATH program updates; meeting materials will be made available here following the event.

  • ​PATH TA Marketplace Application Walkthrough and​ Q&A - October 18, 2022​​

Additional Resources

Listed below are additional resources with key information PATH:

Questions and Comments

Contact DHCS with any questions or comments on the CalAIM PATH initiatives at 1115path@dhcs.ca.gov.​​
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Last modified date: 3/23/2023 2:05 PM