CALAIM IN THE SHELTER SYSTEM
Erik L. Soliván
Housing Director
Erik L. Soliván
Housing Director
City Council Meeting
April 21, 2026 - Item 8.2
CalAIM provides Medicaid healthcare services for people with low incomes including people experiencing homelessness
CalAIM provides cost reimbursements for physical and behavioral health services provided by service providers
Developing a CalAIM Program Aligns with the City’s Reducing Unsheltered Homelessness Focus Area Goals 2.1 and 2.2
2 CalAIM: California Advancing and Innovating Medi-Cal
4/20/2026
3 Pilot Program – PATHCited Grant
4/21/2026
Cerone
Cherry
Evans Lane
Initial Pilot sites:
1. Build administrative framework
2. Identify eligible participants
3. Participant Medi-Cal enrollment and service
connection
4. Establish documentation and billing workflows
for cost reimbursements
5. Build a model that can scale across the shelter
system
The Pilot:
PATH CITED grant: $1,323,036
City Fund match (required) : $1,323,037
Total program funding: approximately $2.6M
Funds support administrative setup,
workflow development, policies and
procedures, billing, and client coordination
within the shelter system
4 Grant Overview
4/21/2026
5 Grant Timeline
4/21/2026
CalAIM implementation
often takes 12–18 months
This work involves systems
change, partner
coordination, credentialing,
and plan alignment
The City is moving on an
expedited track
Target: launch pilot activity
Pilot Sites in summer 2026
6 Pilot Outcomes
4/21/2026
Efficient administrative setup
Improving coordination among City, County,
service provider, and health plan payer partners
Implementing of reimbursable services for
eligible participants
Setting scalable model for the broader shelter
portfolio
Once Pilot is Complete – Year 1 Targets
• Achieve 50% Program implementation at Shelter Sites
• Achieve 50% Program Participation
• Achieve 75% Expense Reimbursables