Current Initiatives

California Advancing and Innovating Medi-Cal


CalAIM Components

To better identify and manage the risk and needs of members who may be challenged with medical and behavioral conditions, lack of access to care, or chronic illnesses and disabilities, CalAIM is a whole-system, person-centered approach that will result in a better quality of life for members, as well as long-term cost savings and avoidance. Components of this system include:

  • A statewide population health management strategy
  • A statewide Enhanced Care Management (ECM) benefit
  • Implementation of optional Community Supports
  • Implementation of incentive payments for plans and providers
  • Participation in the serious mental illness (SMI)/serious emotional disturbance (SED) demonstration
  • Required screening for and enrollment in Medi-Cal prior to release from county jail
  • A pilot with full integration of physical health, behavioral health and oral health under one contracted entity in a county
  • A long-term plan for foster care children and youth
Contact Us
Provider Directory
  • Find a Provider
    CalOptima Health works with over 3,700 Orange County physicians, making it easy for our members to get the care they need.

    Check here for our extensive list of providers, health networks, medical groups, hospitals and pharmacies.
Provider Trainings
  • Trainings by Topic
    View the latest model of care and other educational materials designed to help you and your staff provide care for CalOptima Health members.

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