ARTICLE 5.51. California Advancing and Innovating Medi-Cal Act

Article 5.51 added by Stats. 2021, Ch. 143, Sec. 402.

§§ 14184.100–14184.900 · 24 sections

§ 14184.100 (a) This article shall be known, and may be cited, as the California Advancing and Innovating Medi-Cal (CalAIM) Act. (b) The implementation of CalAIM, as set…
§ 14184.101 For purposes of this article, and elsewhere in law where specified, the following definitions shall apply: (a) “CalAIM” or “CalAIM initiative” means the…
§ 14184.102 (a) Consistent with federal law, the department shall seek federal approval for, and implement, the CalAIM initiative, including, but not limited to, all of…
§ 14184.200 (a) Notwithstanding any other law, the department may standardize those populations that are subject to mandatory enrollment in a Medi-Cal managed care plan…
§ 14184.201 (a) Notwithstanding any other law, the department shall standardize those applicable covered Medi-Cal benefits provided by Medi-Cal managed care plans under…
§ 14184.203 (a) For contract periods commencing on or after January 1, 2026, the department may require each Medi-Cal managed care plan and each health plan subcontractor…
§ 14184.204 (a) Commencing January 1, 2023, subject to subdivision (f) of Section 14184.102, the department shall implement the Population Health Management Program under…
§ 14184.205 (a) Subject to subdivision (f) of Section 14184.102, the department shall implement an enhanced care management (ECM) benefit designed to address the clinical…
§ 14184.206 (a) Commencing January 1, 2022, and subject to subdivision (f) of Section 14184.102, a Medi-Cal managed care plan may elect to cover those community supports…
§ 14184.207 (a) Commencing January 1, 2022, subject to appropriation by the Legislature in an applicable fiscal year and subdivision (f) of section 14184.102, the…
§ 14184.208 (a) To promote more integrated care for dual eligible beneficiaries, the department shall seek to align the enrollment of dual eligible beneficiaries in…
§ 14184.300 (a) (1) To the extent federal financial participation is available, the department shall continue to implement the Global Payment Program (GPP) as described in…
§ 14184.301 The payment methodologies and requirements described in Section 14184.30, as amended by the act that added this section, shall continue to apply during the…
§ 14184.400 (a) Commencing January 1, 2022, subject to subdivision (f) of Section 14184.102, the department shall continue to implement the Specialty Mental Health…
§ 14184.401 (a) Commencing January 1, 2022, subject to subdivision (f) of Section 14184.102, the department shall continue to implement the Drug Medi-Cal organized…
§ 14184.402 (a) Notwithstanding any other law, including, but not limited to, the applicable provisions of Chapter 11 (commencing with Section 1810.100) of Division 1 of…
§ 14184.403 (a) Notwithstanding any other law, commencing no sooner than July 1, 2022, subject to subdivision (f) of Section 14184.102, each Medi-Cal behavioral health…
§ 14184.404 (a) Notwithstanding any other law, commencing January 1, 2027, subject to subdivision (f) of Section 14184.102, an individual county, or counties acting…
§ 14184.405 (a) Subject to appropriation, the department shall establish, implement, and administer the Behavioral Health Quality Improvement Program to provide grants to…
§ 14184.500 (a) The department shall implement the State Plan Dental Improvement Program in accordance with the CalAIM Terms and Conditions and as described in this…
§ 14184.600 (a) As a component of the CalAIM initiative, on and after July 1, 2022, the department, in consultation with representatives of county welfare departments and…
§ 14184.700 (a) Subject to subdivision (f) of section 14184.102 and the availability of sufficient nonfederal share funds for this purpose in each CalAIM year, the…
§ 14184.800 (a) Notwithstanding any other law, commencing no sooner than January 1, 2023, a qualifying inmate of a public institution shall be eligible to receive targeted…
§ 14184.900 (a) Commencing no sooner than January 1, 2027, in accordance with the CalAIM Terms and Conditions and subdivision (f) of Section 14184.102, the department…