Missed billing opportunities can quietly reduce revenue for CalAIM Enhanced Care Management (ECM) and Community Supports providers. Learn why services go unbilled, how to identify revenue leakage, and practical ways to improve collections without increasing administrative staff. Are You Getting Paid for Every Eligible Service You Deliver? CalAIM providers work hard to deliver essential services…
Category: CalAIM Solution
Why CalAIM Providers Lose Revenue, and How to Recover It
Most CalAIM revenue is lost before a claim is ever denied. Here are the seven breakpoints between service delivered and payment received, and how to close each one.
Transitional Rent Program: A New Housing Support
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…