services
We help CBOs and provider organizations launch, operationalize, and sustain CalAIM programs, from payer contracts and compliance through billing, technology, and go-live.
Our team has supported 6 CalAIM providers across 9 Medi-Cal managed care plans, from readiness assessment through operational go-live.
who this is for
For CBOs and provider organizations building CalAIM programs (ECM, Community Supports, and the CHW Benefit). Whether you're evaluating viability, operationalizing a new contract, or stabilizing a program that's already live, we bring the execution infrastructure to get it running.
the challenge
CalAIM programs fail most often not because the model is wrong, but because the operational buildout stalls. Contracting takes too long, compliance gaps surface late, billing never starts flowing, and the team burns out before the program reaches breakeven.
Evaluating viability
“We think ECM could work for us, but we don't know if we're ready or what it will actually take.”
Operationalizing a contract
“We have the MCP contract, but we're stuck on staffing, compliance, systems, and billing.”
Recovering a struggling program
“We're live but enrollment is low, claims aren't flowing, and the team is running on fumes.”
what we deliver
typical engagements
4-6 weeks
We assess your operating readiness, map constraints, and produce a launch blueprint so leadership can make scoped decisions before implementation pressure peaks.
deliverables
3-6 months
We embed alongside your team to execute: payer contracting, compliance build-out, technology selection, workflow design, and billing activation.
deliverables
60-120 days post launch
For programs already live, we stand up operating cadence, track KPIs, and target interventions where enrollment, quality, or unit economics are underperforming.
deliverables
case study
client engagement
A county early childhood agency in Northern California wanted to launch CalAIM programs but had limited healthcare operations infrastructure. They had deep community trust and existing family-serving programs, but no prior experience with Medi-Cal managed care contracting, billing, or compliance.
starting point
what we delivered
CHW billing live
From zero billing infrastructure to clean claims flowing. Compliance, workflows, and payer coordination fully stood up.
PATH grant secured
Full application support: narrative, budget, and program design aligned to funder requirements.
ECM decision-ready
Financial model delivered with revenue projections, cost structure, and breakeven timeline. Leadership equipped to make a go/no-go call.
Additional case studies available upon request.
frequently asked questions
Start with a readiness assessment. In 4-6 weeks we can map constraints, define critical decisions, and produce a launch blueprint that reduces downstream rework.
ECM is often a strong fit when you have a clear target population, trusted community relationships, and leadership willing to operate with healthcare-level rigor. For CBOs newer to healthcare delivery, we assess readiness across the full stack: PAVE application status, MCP contracting/negotiation capacity, staffing model, policies and procedures, HIPAA/compliance controls, case management system, billing/claims workflow, and HIE connectivity.
Yes. We can run a focused assessment of where execution is breaking down, then prioritize targeted interventions so you improve stability without a full reset.
Our core pattern is California-first and CalAIM fluent. We can apply the same execution model in other Medicaid contexts where payer, operations, and compliance must stay tightly aligned.
We align on your stage (launch vs. recovery), timeline, and current constraints. You leave with a clear recommendation on whether an assessment-first engagement is the right next step.
If you're launching, stuck, or behind, let's get on a call. We'll map your stage, constraints, and timeline, and tell you honestly whether we can help.
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