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DPH updates commissioners on CalAIM rollout, revenue gains and federal funding risks

San Francisco Health Commission · August 4, 2025
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Summary

Department of Public Health officials updated the commission on CalAIM implementation, reporting $17 million in CalAIM-related revenue to date for DPH and expanded Enhanced Care Management (34,000 encounters), while warning that federal waiver renewals and proposed federal rules could jeopardize some programs and hundreds of millions in funding.

San Francisco ——

Department of Public Health leaders told the Health Commission on July 29 that CalAIM (California Advancing and Innovating Medi-Cal) has expanded the city's care-management capacity but faces financial and regulatory uncertainty. Dr. LaDonna Norman, Director of Intensive Services and Access for the adult and older-adult system of care, said CalAIM began in 2022 and is intended to "make services more equitable, mitigate barriers and access to care, address our marginalized and stigmatized populations, and implement a whole-person centered approach."

Norman said DPH's Enhanced Care Management (ECM) teams have provided about "34,000 ECM encounters" since CalAIM launched, and described community supports that have reached 12,000 clients. A second presenter noted that, from launch to present, DPH community supports…

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