Medi-Cal In Lieu of Services (ILOS) Policy Guide

Published in September 2021, this guide provides detailed implementation requirements and guidance related to Are In Lieu of Services (ILOS) and the California Advancing and Innovating Medi-Cal (CalAIM) framework to address social determinants of health and improve health equity statewide. The guide outlines the services or settings that managed care plans (MCPs) may offer in place of services or settings covered under the California Medicaid State Plan and that are medically appropriate, cost-effective alternatives to a State Plan covered service. ILOS are optional for MCPs to offer and for Members to utilize. MCPs may not require Members to . . .