California Counties Navigate Expanded Medicaid Managed Care Responsibilities Under CalAIM and BH-CONNECT

California's 58 counties serve as critical administrators and providers within the state's Medi-Cal managed care system, which now covers approximately 15 million members with 95% enrolled in managed care plans. Recent state reforms including CalAIM and BH-CONNECT have significantly expanded county obligations around Enhanced Care Management, Community Supports, behavioral health coordination, and cross-system data reporting. These evolving responsibilities require counties to balance state mandates with local delivery needs while managing both Medi-Cal specialty behavioral health services and safety net programs for vulnerable populations.

Behavioral Health · Managed Care

This is outside commentary from Sellers Dorsey, not part of Medicaid Monitor's independently scored news coverage.

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