CalAIM Guide for California Behavioral Health and Human Service Providers
Empowering California Providers with Efficient, Flexible EHR Tools and Support
CalAIM proposals offer solutions to ensure the stability of Medi-Cal programs and allow the critical successes of waiver demonstrations such as Whole Person Care, the Coordinated Care Initiative, public hospital system delivery transformation, and the coordination and delivery of quality care to continue and be expanded to all Medi-Cal enrollees.
This resource guide summarizes CalAIM initiatives that will impact Behavioral Health and Human Service providers in California. It is intended to help your organization understand and thrive under the new Medi-Cal and CalAIM requirements.
Call us today at 866-386-7655 or fill out the form to schedule a custom demo directly with a California representative.
Qualifacts by the numbers
- #1 & #2 Best in KLAS Software 2023
- 96% Customer Retention
- 160+ CCBHC Customers
- 2,500 Customers and 75,000 Providers
- $10 Billion Claims Processed Per Year
The CalAIM Guide Contains the Following Information:
- CalAim Background & Overview
- Core CalAIM Concepts
- Initiatives Overview
- BH Delivery System Transformation
- BH Health Payment Reform
- Standardized Screening
- “No Wrong Door” & Co-Occurring Treatment
- Drug Medi-Cal ASAM Level of Care Determination
- Funding Initiative Programs
Download the CalAIM Guide Now
Our Capabilities
Why Qualifacts?
As state requirements evolve, foundational EHR support and the ability to share data are vital for decision-making and quality improvement efforts. Agencies are switching Qualifacts to support CalAIM program initiatives, including data analytics, consumer engagement, and care coordination tools.
- Full access to all data critical for compiling and analyzing, demonstrating improved outcomes, and better treatment protocols
- Consumer engagement tools and a client portal with online access to scheduling, medication renewals, form and assessment completion, and payment processing
- Medi-Cal Short-Doyle Billing Module for compliant and timely revenue collection
- Multiple reporting tools to harvest data and a Business Intelligence module to provide real time dashboards measuring Key Performance Indicators (KPIs) to demonstrate continuous improvement and contract compliance
- Connect with other systems and organizations — including patient data access and system-wide health information exchange — to break down data silos
Qualifacts EHR’s configurable reporting and billing modules help our California Partners meet their unique needs. As a result, they experience an average 99% clean bill rate and 8% fewer claim denials versus the industry standard. From claims automation to Medi-Cal billing requirements, we have you covered.
- Promote compliance and timely revenue collection with Medi-Cal, Short-Doyle billing solutions
- Quickly manage payers, submissions & denials with versatile billing tools
- Work efficiently with real-time eligibility checks for Medi-Cal & commercial clients
Our platform’s disconnected mobile workflows allow clinicians to access and document the data they need at the point of care. Collect the data that matters, then relax. That info will securely upload to your EHR for immediate review, processing, billing, and reporting once an Internet connection is available.
- Work from anywhere with fully disconnected mobile solutions for community care
- Collect data, including client signatures, at the point of care with electronic forms
- Integrate community-based care, scheduling & paperwork via any secure tablet, laptop, or mobile device
- Work from anywhere with fully disconnected mobile solutions for community care
- Simplify compliance with forms, fields and reports tailored to Medi-Cal/Short-Doyle and upcoming CalAIM requirements
- Count on regulatory support and guidance for Certified Community Behavioral Health Clinics, the 21st Century Cures Act, federal incentive programs & more
- Quickly and efficiently collect and report on outcomes with Clinical Quality Measures dashboards
Our platforms help you tailor workflows to your unique needs. From clinical care to reporting, billing, and outcomes collection, it’s all configurable. Whatever your role, our solutions can help you achieve more in less time.
- Create smooth clinical workflows with configurable forms, reports, dashboards & smart screens
- Access client, outcome & program data in one convenient location
- Eliminate surprise fees or delays with self-service configuration of data & workflows
Resources
Aldea Children and Family Services, Self-Managing Ongoing Waves of CalAIM Changes with the Credible EHR | Customer Success Story
Qualifacts Announces Partnership with Hope Cooperative in Sacramento County California
Volunteers of America Northern California and Northern Nevada | Implementation Success Story
[Guide] CalAIM Guide for California Behavioral Health and Human Service Providers
Qualifacts Difference
We empower providers to focus on the moments that matter by delivering innovation and trusted technology solutions to achieve expectational outcomes for those they serve. We have over 22 years in the behavioral health industry and have knowledgeable leadership who has walked in your shoes, bringing vital clinical and technical experience. We are committed to superior customer service and support. Regardless of your agency’s size, services, or structure, we have a solution that meets your needs.
California organizations have already begun to experience the Qualifacts difference, taking full advantage of our EHRs to work towards achieving better outcomes, driving efficiencies, maximizing revenue, demonstrating high performance, and preparing for value-based reimbursement. Ready to learn more about how our EHR solutions help our California Partners improve care, simplify compliance, and maximize revenue? Call us today at 866-386-7655 or schedule a custom demo using the link below.