CALAIM: Managed Care

CalAIM + Hanserd Health Course Offering

Becoming a CalAIM Provider

Estimated Time: 6 Months

You provide services that seem to align with the goals of CalAIM and you are interested in exploring the benefits, costs and risks associated with becoming an Enhanced Care Management (ECM) or Community Supports (CS ) Provider. You want to know how to approach or re-engage managed care plans on a new service opportunity. We can help you explore options and determine what it will take to contract and meet all program requirements in a way that will scale.

GOAL:  Assess the opportunity to become a CalAIM provider

OBJECTIVES:

  • Interview management, staff, and relevant external stakeholders
  • Review relevant artifacts (e.g. business plan, strategic plan, organization chart, performance reports)
  • Define the benefits, costs, and risks of becoming a CalAIM provider in context of the organization’s vision, mission, and strategic goals
  • Assess organizational readiness to partner with MCPs including workforce, service delivery, technology, and financial aspects
  • Identify gaps, complexity, pain points, and unmet requirements
  • Produce a summary with findings and recommendations

We Exist to Help You Succeed

If you’re looking to innovate or transform care and health for your most vulnerable clients, reach out to us today.