Care Coordination

Care Coordination


CalAIM (California Advancing and Innovating Medi-Cal) is a comprehensive program integrating medical, behavioral, and social services to improve health outcomes and quality of care for vulnerable populations. 

Enhanced Care Management (ECM): 

  • Provides comprehensive care coordination for Medi-Cal beneficiaries with complex needs. 
  • Addresses medical, behavioral, and social determinants of health. 
  • Includes care coordination, health education, linkage to resources, and personalized care plans. 


  • Focuses on housing needs of vulnerable Medi-Cal populations. 
  • Aims to secure and maintain stable housing for the homeless or at-risk individuals. 
  • Includes housing transition navigation, tenancy-sustaining services, and collaboration with housing authorities. 

Asthma Remediation: 

  • Targets the improvement of living conditions for individuals with asthma. 
  • Includes home assessments, removal of asthma triggers, and education on asthma management. 
  • Aims to reduce asthma-related health issues and improve overall quality of life. 


CalAIM Forms

Health needs assessment

English    |    Korean    |      Spanish   |     Chinese

Housing intake

English   |      Korean     |      Spanish   |    Chinese

Agency third party homeless verification

English   |      Korean     |      Spanish    |   Chinese

At risk of homelessness verification

English  |      Korean     |      Spanish     |    Chinese

Disabling condition verificiation form

English  |      Korean     |      Spanish    |    Chinese

Self certification of homelessness

English  |      Korean     |      Spanish    |    Chinese


For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospital be made available to the public.

You may search this federal database for payments made to physicians and teaching hospitals by visiting this website: