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Council Agenda: 04-29-2025
Item No.: 2.13
DRAFT--Contact the Office of the City Clerk at (408)535-1260 or [email protected] for final document.
RESOLUTION NO. ______________
A RESOLUTION OF THE COUNCIL OF THE CITY OF SAN
JOSE (A) AUTHORIZING THE HOUSING DIRECTOR, OR
HIS DESIGNEE, TO APPLY FOR A CALIFORNIA
ADVANCING AND INNOVATING MEDI -CAL GRANT
APPLICATION FOR PROVIDING ACCESS AND
TRANSFORMING HEALTH CAPACITY AND
INFRASTRUCTURE TRANSITION, EXPANSION AND
DEVELOPMENT GRANT FUNDING OF UP TO $3,00 0,000,
TO PILOT THE IMPLEMENTATION OF C
ALAIM ELIGIBLE
COST REIMBURSEMENTS FOR SOCIAL, MENTAL, AND
PHYSICAL HEALTH SERVICES AT INTERIM HOUSING
LOCATIONS AND OUTREACH PROGRAMS ; AND (B)
AUTHORIZING THE HOUSING DIRECTOR, OR HIS
DESIGNEE, TO NEGOTIATE AND EXECUTE ALL
RELATED GRANT DOCUMENTS AND AGREEMENTS TO
ACCEPT GRANT FUNDING, IF AWARDED, TO
IMPLEMENT GRANT FUNDING
WHEREAS, the California Advancing and Innovating Medi-Cal (“CalAIM”) grant program is a state-led enhancement to the Medi-Cal program, approved under a federal waiver in December 2021, and represents a key opportunity to leverage State of California funding to strengthen local health-focused housing strategies; and
WHEREAS, CalAIM created two new benefit programs designed to improve health outcomes, Enhanced Care Management and Community Supports, and under these programs, cities, counties, community-based organizations, and other eligible organizations can contract to provide reimbursable services that help address health- related social needs; and
WHEREAS, services for these programs include comprehensive care management, support to secure and maintain housing, access to medically tailored meals to support short-term recovery, and a variety of other community-based services—many of which are already being provided by the City of San José (“City”) through the Housing NVF:RM2:JMD
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Council Agenda: 04-29-2025
Item No.: 2.13
DRAFT--Contact the Office of the City Clerk at (408)535-1260 or [email protected] for final document.
Department’s Emergency Interim Housing and Street Outreach programs, among others; and
WHEREAS, to help implement CalAIM statewide, the State of California Department of Health Care Services created the Providing Access and Transforming Health (“PATH”) initiative, a five-year $1.85 billion initiative to build capacity and strengthen infrastructure for CalAIM on-the-ground service delivery partners; and
WHEREAS, the PATH initiative includes a Technical Assistance Marketplace, a regional Collaborative Planning Initiative, and the Capacity and Infrastructure, Transition, Expansion, and Development grant program, which is currently accepting applications for its fourth and final round of grant funding; and
WHEREAS, the City is pursuing a “hub” model in which the City contracts with Managed Care Plans (i.e., Medi-Cal insurance providers) and subcontracts with community-based organizations to deliver services; the hub model approach aligns with the City’s current structure for managing Emergency Interim Housing (“EIH”) program sites and would centralize CalAIM administration, billing, and coordination with healthcare providers, community organizations, and internal teams; and
WHEREAS, if awarded, the $3,000,000 grant would support the development of a CalAIM pilot program at three of the City’s EIH program sites and across the City’s outreach programs, support up to three time-limited full-time equivalent staff in the Housing Department’s Homelessness Response Division to establish a local CalAIM reimbursement program, and aid hiring and augmenting community health workers and case management staff to provide direct services using a trauma-informed care model; and
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Council Agenda: 04-29-2025
Item No.: 2.13
DRAFT--Contact the Office of the City Clerk at (408)535-1260 or [email protected] for final document.
WHEREAS, this pilot would allow the City to design and test the staffing, infrastructure, and systems needed to expand CalAIM implementation across its shelter and housing portfolio and execute reimbursements—and if successful and further directed by City Council to scale the program, additional staffing costs may be covered through CalAIM service delivery reimbursements; and
WHEREAS, the staff recommendation aligns with prior direction from the Mayor and City Council, and the City Council desires to adopt this resolution for the reasons set forth in the memorandum dated April 17, 2025, from the Director of Housing, Erik L.
Soliván, for the April 29, 2025, City Council Meeting;
NOW, THEREFORE, BE IT RESOLVED BY THE COUNCIL OF THE CITY OF SAN JOSE THAT:
A. The Housing Director, or his designee, is hereby authorized to apply for a California Advancing and Innovating Medi-Cal grant application for Providing Access and Transforming Health Capacity and Infrastructure Transition, Expansion and Development grant funding of up to $3,000,000, to pilot the implementation of CalAIM eligible cost reimbursements for social, mental, and physical health services at interim housing locations and outreach programs, and;
B. The Housing Director, or his designee, is hereby authorized to negotiate and execute all related grant documents and agreements to accept grant funding, if awarded, to implement grant funding.
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Council Agenda: 04-29-2025
Item No.: 2.13
DRAFT--Contact the Office of the City Clerk at (408)535-1260 or [email protected] for final document.
ADOPTED this _____ day of ___________, 2025, by the following vote:
AYES:
NOES:
ABSENT:
DISQUALIFIED:
MATT MAHAN
Mayor
ATTEST:
TONI J. TABER, MMC
City Clerk