CalAIM

CalAIM (California Advancing and Innovating Medi-Cal) is a statewide effort to transform Medi-Cal by providing care beyond the doctor’s office and addressing social drivers of health, especially for people with complex needs. Through CalAIM, HSH is working to make the homelessness response system more sustainable, effective, and equitable by documenting Homelessness Response System (HRS) services in the ONE System that align with CalAIM’s Housing Support Services. These include:

Housing Transition and Navigation Services (HTNS) – helping people find a place to call home by offering hands-on support with housing search and placement.

Housing Deposits (HD) – helping to remove one of the biggest barriers to securing housing by providing financial assistance to cover move-in costs.

Housing Tenancy and Sustaining Services (HTSS) – Once housed, consistent support to help people stay housed and build long-term stability.

Care planning – helping service providers to plan the trajectory of services for clients engaged in HTNS and HD (Pre Move-In Individualized Housing Support Plan), and HTSS (Housing Support Plan).

 

There are many resources on the ONE help site related to CalAIM that are stored with training materials by program area. We are also including links here by resource type.

Assessments 

Assessments are a CalAIM requirement for all client/provider services that are reimbursable. Health plans will be monitoring on an ongoing basis for the presence of an up-to-date assessments to ensure eligibility requirements are met for each client.

Pre Move-In (Housing Navigation) IHSP (Individualized Housing Support Plan) Assessment

Intended to guide service delivery and justify Housing Transition and Navigation Services, and Housing Deposit Services for clients engaged in Housing Search and Placement.

The IHSP is found in the ONE System at the Program level under Assessments.

Individualized Housing Support Plan Assessment Training (Training Slides)

Individualized Housing Support Plan Assessment Training (Training Video)

Housing Support Plan

Intended to guide case management and to justify Housing Tenancy and Sustaining Services for clients in Housing programs.

The Housing Support Plan is found in the ONE System at the Program level under Assessments.

Housing Support Plan Training Slides

Housing Support Plan Training Video

Services

CalAIM utilizes services for clients enrolled in eligible programs in the ONE System (e.g. Coordinated Entry, Scattered Site, Site-Based PSH, etc.). While many services have been developed independently of CalAIM, the services below were developed to capture data exclusively for CalAIM purposes.

Housing Move-In Financial Support

Intended to support Scattered Site programs to document financial services that remove financial barriers to accessing and establishing a home (not including first month’s rent). The need for these services should be documented in the Pre Move-In IHSP.

This service is found at the Program level under Provide Services.

Housing Move-In Financial Services Training Slides

Housing Move-In Financial Services Training Video

Housing Move-In Financial Services Job Aid Updated

 

Reports

Services Monitoring Reports

The Services Monitoring Report was developed to align continuous quality improvement efforts and program monitoring needs with HSH priorities such as the Home By the Bay Strategic Plan. Intended to identify gaps in service delivery (clients with no services ever, no services in the past 3 months, etc.), monitor service utilization, and verify accuracy of CalAIM services present in the ONE System. This reporting dashboard also includes data related to the Pre Move-In IHSP and HSP to ensure essential documentation is present and updated on a regular basis.

Found in the Data Analysis section of ONE (Reports > Data Analysis > San Francisco ONE System Reports > Site-Based Permanent Supportive Housing OR Scattered Site Housing > Services Monitoring Report

Scattered Site Services and Monitoring Report Training Slides

Scattered Site Services Monitoring Report Job Aid

Site-Based PSH Services Monitoring Report Tip Sheet

Site-Based PSH Attendance Services and Monitoring Report Training Slides