“It was an opportunity for the jurisdictions, usually run by counties, to really see what was working to handle high-acuity Medi-Cal clients and to link directly to the savings in the healthcare system,” said Rattigan. “So the upstream services would hopefully lead to savings in the downstream health system. “
Incoming CalAIM system retains the option for Medi-Cal to pay for services generally not covered by health insurance schemes, such as the payment of security deposits, medically adapted meals and the rehabilitation of housing.
And the program goes beyond targeting people who are homeless or about to become homeless. Among other groups, it targets children and the elderly with complicated health problems, heavy users of hospital emergency rooms and people in nursing homes, prisons or mental health crisis centers, according to California Healthline.
According to Rattigan, one of the most significant changes expected in the move to the CalAIM system is that the street outreach component of Napa’s homeless services system will no longer be funded as it was under the comprehensive personal care.
The pilot program’s street awareness funding will last until June 2022. But, to continue funding the outreach program after six months of next year, Rattigan has asked Napa City Council to approve a grant application to the California Department of Housing and Community Development up to $ 200,000. Council unanimously approved the request.