California Submits CalAIM Waivers For Federal Approval

On June 30, 2021, the California Department of Health Care Services (DHCS) submitted its California Advancing & Innovating Medi-Cal (CalAIM) waiver request for amendment and five-year renewal of its Medicaid 1115 demonstration. The CalAIM provisions are intended to standardize Medicaid managed care plan benefits, add institutional care and major organ transplants into managed care, and carve pharmacy out of managed care. The state also intends to implement Medicaid managed long-term services and supports (MLTSS) statewide, which will replace the state’s current 1915(b) Medicaid waiver plans, which have capped enrollment and are not statewide. The current . . .