This report, developed by Homebase and funded by the California Health Care Foundation, offers a deep dive into the impact, challenges, and opportunities made possible by two critical and complementary state initiatives aimed at improving health and housing outcomes of Californians experiencing homelessness: CalAIM’s housing-related services – Enhanced Care Management (ECM) and Community Supports (collectively referred to in these materials as ECM/CS) –and the Housing and Homelessness Incentive Program (HHIP).

These materials highlight the impacts of both initiatives on cross-system collaboration between Medi-Cal managed care plans (MCPs) and homelessness response systems throughout the state. The takeaways highlight the ability of people experiencing homelessness to access new Medi-Cal housing services and resources, as well as the effects these programs have had on the ecosystem of providers, homeless systems of care, MCPs, and government agencies that serve Medi-Cal members.

The key findings and analysis of successes and challenges can inform improvements in the ongoing implementation of ECM and Community Supports as well as the future design, development, and implementation of other programs aimed at facilitating cross-system collaboration to improve health and housing outcomes for vulnerable Californians.

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• CalAIM’s Housing Supports and The Housing and Homelessness Incentive Program: Lessons Learned from Health Care and Homeless System Integration Initiatives

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• Findings and Future Considerations from The Housing and Homelessness Incentive Program (HHIP) Implementation

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• Enhanced Care Management and Community Supports: Key Findings and Opportunities to Improve Implementation

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• CalAIM Bright Spots: Four Communities’ Successes Supporting People Experiencing Homelessness (Alameda, Fresno/Madera, Los Angeles, and Santa Barbara Counties)

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• Fact Sheets: ECM and Community Supports Data from across the State (for CA and each CoC)

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• Appendices: Methodology and Glossary of Key Terms