CalOptima Health’s mission is to serve member health with excellence and dignity, respecting the value and needs of each person. With a goal of reducing health inequities, CalOptima Health is expanding programs and partnerships to better serve members, especially those at risk of poor health outcomes, including individuals experiencing homelessness. The CalOptima Health Board of Directors has shown strong support for addressing homelessness by allocating Board-reserved funds, which are a key part of the community investment strategy.
CalOptima Health also participated in the Department of Health Care Services’ (DHCS) Housing and Homelessness Incentive Program (HHIP), earning additional funds to support health and housing services for Medi-Cal members experiencing or at risk of homelessness. This voluntary program incentivized Managed Care Plans to actively reduce and prevent homelessness by supporting the delivery and coordination of health and housing services for Medi-Cal members.
CalOptima Health has directed investments to four priority areas:
Infrastructure to coordinate and meet member housing needs
Partnerships and capacity to support referrals for services
Delivery of services and member engagement
Innovation and implementation of strategic interventions
Together, the funds from the CalOptima Health Board and HHIP have supported meaningful investments across Orange County. This 6th funding opportunity will focus on capital projects, systems change initiatives and equity grants to expand housing options and prevent homelessness, with particular attention to disproportionately impacted populations. The application period is May 27 – July 2, 2026.
Community Investment Strategy
CalOptima Health is prioritizing projects and programs that are trauma-informed, inclusive, non-residency-restricted, low-barrier, and aligned with housing-first and harm-reduction principles. This includes ensuring the “voice of lived experience” is integrated into all phases: design, development, implementation and evaluation.
CalOptima Health is committed to the following:
Working toward a cohesive, countywide approach to address and prevent homelessness.
Developing equitable systems that distribute resources among a variety of community service providers across all three service planning areas.
Promoting and facilitating innovation in data collection and sharing, with emphasis on greater integration across systems.
Establishing and/or using best practices in providing care by meeting members where they are and increasing access to that care.
Delivering culturally competent services to traditionally underrepresented populations (e.g., families, seniors, LGBTQIA+ and people of color).
Investment and implementation of programs that expand the pool of affordable housing.
Description of Funding Priorities
Applications must demonstrate how the request adds to or builds upon the existing cadre of services offered in Orange County, with a focus on non-duplicative, sustainable efforts. Prohibited budget items include lobbying and rental assistance.
This funding opportunity is purposefully broad to solicit as many ideas as possible from organizations across Orange County working to address the homelessness crisis. CalOptima Health will work to award funds across all three Service Planning Areas.
Organizations may only apply for one grant in Round 6.
Funding Priority #1: Equity Grants
Social determinants of health — such as income level, education attainment, employment status, interaction with the criminal justice system, immigration status, and other factors — significantly influence a person's housing status by impacting their ability to afford and maintain stable, adequate housing. The objective of this funding priority is to prevent or remedy homelessness by ensuring individuals at risk or experiencing homelessness have access to tailored housing and supportive services that address the root causes of housing instability, such as those social determinants of health. This opportunity is purposefully open to a broad range of programs and organizations that impact a variety of root causes.
Priority will be given to applicants with expertise in serving populations such as, but not limited to people of color, transition-aged youth (TAY), older adults (55+), LGBTQIA+ individuals and justice-involved individuals.
Priority-Specific Eligibility Requirements:
Organizations must have an annual operating budget of no less than $200,000 and no more than $5 million.
Organizations must illustrate how their work addresses the social determinants of health, which play a critical role in determining housing stability.
Applicants must include measurable objectives that demonstrate impact on at least one social determinant of health for the target population.
Organizations that have received any HHIP grant in a previous funding round are eligible. These grants must be completed and closed by the new grant effective date.
Applicants must also meet CalOptima Health’s general eligibility requirements.
Proposal Evaluation Criteria for Equity Grants
Criterion
Max Points
Description of basis for assigning points
1
CalOptima Health core value alignment
15
Project is trauma-informed, inclusive, non-residency restricted, low-barrier, person-centered, and aligned with housing-first and harm-reduction principles.
2
Program Description
20
Clear, concise description demonstrating alignment with the funding priority area that includes the following:
Description of the social determinants of health impacted and how they relate to housing status.
Description of the target population at greater risk for homelessness.
Program details must specify how funds will benefit actively enrolled CalOptima Health members.
3
Program Implementation
15
Plan is complete and includes measurable objectives, logical and feasible activities, as well as clearly defined measures of success.
4
Sustainability
5
Program is sustainable through a well-defined plan for long-term success, without reliance on continuous grant funding, and includes clear indicators related to homelessness prevention and social determinants of health.
5
Readiness
10
Projects that can launch soon after the grant award will receive more points.
6
Experience
15
Demonstrated expertise in delivering proposed services and implementing similar projects, with clear alignment to the selected funding priority area. Evidence must be explicitly detailed in the application.
7
Capacity of Applicant
10
Able to demonstrate financial and management capacity to carry out the project, as evidenced by the submission of required materials in the application portal.
8
Evaluation Plan
10
Applicant clearly articulates a feasible and well-thought-out plan for evaluating project success.
Total Earnable Points
100
Funding Priority #2: Capital Projects
This funding priority will support the development or enhancement of housing for individuals experiencing homelessness. This funding is for capital projects only, such as construction, renovation, conversion, expansion, furnishing or opening of housing units.
Eligible applicants must demonstrate how their project will increase the number of people connected to permanent housing or add new housing units. Projects must also ensure access to supportive services that are culturally appropriate and informed by the lived experiences of those served. Priority will be given to proposals that expand equitable, countywide access to permanent, affordable housing.
CalOptima Health is especially interested in capital projects that are ready to move forward but may be stalled due to budget shortfalls.
Funding cannot be used for lobbying or rental assistance and is subject to prevailing wage requirements.
Priority-Specific Eligibility Requirements:
Applicants must provide or connect participants with accessible, supportive services.
At least 90% of units must serve households earning ≤50% of the Area Median Income (AMI), with rents affordable to those households (see Orange County Rent Income Limits).
Current CalOptima Health capital grantees with active projects, with the exception of those funded in Round 5, may apply if they can clearly demonstrate unanticipated cost overruns or an unexpected funding gap, supported by documentation.
Projects must be located within the County of Orange.
Applicants must have EITHER (A) approved construction permits OR (B) site control AND a letter of support from the city manager that includes the project site address.
At least 50% of total project funding must be secured. This may include the cost of the property.
Site visits are required for applicants who advance in the process. CalOptima Health will schedule these visits for selected applicants during the month of January.
Applicants must also meet CalOptima Health’s general eligibility requirements.
Proposal Evaluation Criteria for Capital Grants
Criterion
Max Points
Description of Basis for Assigning Points
1
CalOptima Health Core Value Alignment
5
Project is trauma-informed, inclusive, non-residency-restricted, low-barrier, person-centered and aligned with housing-first and harm-reduction principles.
2
Project Description
10
Applicants must clearly explain how their project aligns with the funding opportunity and specify how the project will benefit actively enrolled CalOptima Health members.
3
Project Implementation
15
Plan must be complete and include measurable objectives, logical and feasible activities, and clearly defined measures of success (such as SMART objectives). Timelines should be clear, realistic and well-structured.
4
Budget and Financial Management
15
Project must demonstrate financial sustainability beyond this funding opportunity and should not rely on ongoing grant support.
Applicants must provide evidence of additional secured funding that meets or exceeds the minimum threshold:
5 points: 50%–80% of project funding secured
15 points: 80% or more of project funding secured
5
Readiness
15
Projects that can demonstrate viability and be fully operational soon after grant award will receive more points.
6
Experience
15
Applicants must demonstrate experience developing housing options for people experiencing homelessness in Orange County.
Organizations with a proven track record of successfully completing similar projects will receive additional points.
7
Capacity of Applicant
5
Ability to demonstrate financial and management capacity to carry out the project, as evidenced in the submission of required materials in the application portal.
8
Support Service Planning
10
Demonstrate how people served at this project will have access or referral to supportive services.
Application packet includes a letter of commitment or attestation regarding the plan for support services.
9
Housing Type
10
Permanent and affordable housing projects that include many units designated for “extremely low income” (rent at 30% AMI or less) receive more points.
Provision of a housing service or type of housing that meets a need/fills a service deficit in Orange County.
10*
Bonus Points: Project Permitting
10
Projects that are already permitted, as evidenced by documentation, will receive these bonus points.
Total Earnable Points
110
Funding Priority #3: Systems Change Projects
This funding priority is centered on preventing homelessness through systemic changes that create broad, county-wide impact. It is designed to support projects and initiatives focused on upstream prevention strategies that address the root causes of homelessness before they negatively impact housing status. Priority will be given to innovative systems-level changes that employ evidence-based practices and sustainable solutions to build upon or transform the local homelessness response system.
Successful applicants will propose initiatives that expand and enhance prevention efforts at an upstream level, improving outcomes for individuals and families and reducing their risk of homelessness. This may include, but is not limited to, increasing access to income, education and employment opportunities, improving coordination and accessibility of homelessness prevention services or housing resources such as vouchers, providing targeted interventions for vulnerable populations and strengthening local systems through community engagement. Projects should prioritize the implementation of upstream, proven or best practices, policies, and processes designed to prevent homelessness before its onset. CalOptima Health, through these grant awards, is seeking to support a sustainable, systemic approach to reducing risk.
All applicants will be given the opportunity to meet with staff for a 30-minute phone consultation prior to submitting Systems Change applications to determine whether their proposal is appropriate for this funding opportunity. Those phone consultations can be scheduled by submitting a request to CalAIMgrants@caloptima.org. Please title your email “Request for HHIP Systems Change Phone Consult,” and we will reply to you with available times.
Priority-Specific Eligibility Requirements:
Proposed projects must be implemented county-wide or have a documented plan to become county-wide.
Applications must clearly articulate the problem to be solved, propose a feasible, evidence-based solution, and demonstrate how success or progress can be achieved and measured.
Applicants must clearly demonstrate experience with implementing system-wide interventions and/or programs.
Applicants must include measurable objectives that demonstrate impact on reducing the target population’s risk of experiencing homelessness.
Applicants must provide three references from previous funders who have granted the applying organization $200,000 or more within the past three years.
Current Systems Change grantees and their programs are not eligible for this grant opportunity.
Applicants must also meet CalOptima Health’s general eligibility requirements.
Proposal Evaluation Criteria for System Change Grants
Criterion
Max Points
Description of basis for assigning points
1
CalOptima Health core value alignment
10
Project is trauma-informed, inclusive, non-residency restricted, low barrier, person-centered, and aligned with housing-first and harm-reduction principles.
2
Program Description
15
Clear, concise description demonstrating alignment with funding priority areas and supported by evidence-based or emerging best practices. Program details must specify how funds will benefit actively enrolled CalOptima Health members.
3
Program Implementation
10
Plan is complete and includes measurable objectives, logical and feasible activities, as well as clearly defined measures of success. Description of county-wide implementation. If the county-wide rollout is beyond the life of the grant, please still include the effort to implement it.
4
Sustainability
20
Program is sustainable through a well-defined plan for long-term success, without reliance on continuous grant funding.
5
Readiness
5
Projects that can launch soon after the grant award will receive more points. Points are also given for projects with a well-conceived timeline to achieve the intended results.
6
Experience
15
Demonstrated expertise in delivering proposed services and implementing similar projects, with clear alignment to the selected funding priority area. Evidence must be explicitly detailed in the application.
7
Capacity of Applicant
10
Able to demonstrate financial and management capacity to carry out the project, as evidenced by the submission of required materials in the application portal.
8
Evaluation Plan
10
Applicant clearly articulates a feasible and well-thought-out plan for evaluating project success. Includes clear indicators related to homelessness prevention and the reduction of the risk of becoming homeless.
9
References
5
Applicants must provide three references, as outlined in the requirements above.
Total Earnable Points
100
Grant Budgets, Amounts and Duration
Funding Priority
Grant Request Limit
Total Amount Available
Notes Specific to this Priority
Project Duration
Equity Grants
No minimum; $100,000 maximum request
$500,000
A minimum of five grants will be awarded, assuming a large enough applicant pool.
Two-year projects.
Capital Grants
Currently funded projects: $500,000 maximum
New applicants: $5 million maximum
$6.5 million
A minimum of one grant will be awarded, assuming a large enough applicant pool.
Multi-year are acceptable.
Systems Change Projects
$500,000 minimum; $1.5 million maximum
$4.1 million
A minimum of three grants will be awarded, assuming a large enough applicant pool.
Projects can be from one to three years in duration.
Payment structure will be defined in the fully executed grant agreement for awarded grants.
Eligibility Requirements
Applicants must be a 501(c)(3) or equivalent in good standing with the IRS. Equivalent organizations may include tribes, public schools, universities, and local, state or federal government agencies and programs.
Applicants must propose projects that align with one of the funding priorities described above.
Applicants must be in good standing with CalOptima Health.
Funds must benefit actively enrolled CalOptima Health members.
Applicants are strongly encouraged to apply for funds when ready to implement their project.
Applicants must successfully complete an application and submit it by the deadline to be considered for funding.
Letters of support will not be accepted for either grant opportunity. Please do not solicit them or request that others submit them on your behalf.
Remember: Carefully review all priority-specific and general eligibility requirements. Applicants who fail to meet these requirements will be deemed ineligible.
Application Timeline
Action
Date
Application Released/Portal Opens
5/27/2026
Round 6 NOFO – Bidder’s Conference * Q&A posted on the Funding Opportunity webpage by 6/24/2026
6/9/2026 at 2 p.m. PST
Systems Change Phone Consultations Available During this Period