California is set to introduce 'Transitional Rent program' starting in January 2025, with full mandatory implementation by January 2026. This initiative, under the CalAIM framework, aims to provide up to six months of rental assistance for Medi-Cal members experiencing or at risk of homelessness. The program seeks to bridge the gap between temporary housing & permanent solutions, acknowledging…
Author: Sprite Health
Collaboration (MCP + CBO) = Better Outcomes
Collaboration between MCPs and CBOs is vital for the success of the CalAIM program. However, the initiative faces challenges stemming from structural and cultural mismatches and a lack of effective technology tools. MCPs are focused on expanding CBO networks, providing training resources, ensuring compliance, and improving cost efficiency and auditing processes. Meanwhile, CBOs are struggling…
CalAIM: From Encounters to Outcomes
Many MCPs have recently shifted reimbursement models to focus on the number of encounters per member each month. With limited explanation from the plans and lacking billing guidance, this shift is causing confusion among providers. Here, we’ll explore the reasons behind this change and where it may be heading. This change stems from a need…