Many people covered by Medicaid have co-occurring physical and behavioral health conditions and must navigate uncoordinated care delivery systems. While a number of states have launched initiatives to integrate physical and behavioral health care, these efforts can encounter challenges due to fragmentation at the financial and administrative levels, such as between managed care plans and behavioral health agencies.
The California Advancing and Innovating Medi-Cal initiative, or CalAIM, is the state’s broad effort to transform its Medicaid delivery system and programs — including changes to behavioral health care. This brief, made possible through support from the California Health Care Foundation, explores how California can build on CalAIM reforms, local innovations, and select national examples to support greater physical-behavioral health integration. While oriented to the California landscape, the lessons can inform integration activities in other states.