Amy Sim

The meeting included an overview of CenCal Health's 2026 priorities, focusing on partnerships, D-SNP stabilization, and funding opportunities, as well as an analysis of major policy and delivery system drivers including federal and state budget impacts. A strategy for Transitional Rent was presented to support members experiencing housing barriers during critical transition points. Additionally, progress on the Regional Member Navigation Hub was discussed, including outreach efforts, cross-sector partnerships, and the development of member support toolkits to assist with Medi-Cal work requirements and re-enrollment.

The board meeting addressed several strategic and operational initiatives. Key discussions included the implementation of HR-1 Medi-Cal policy and the establishment of a Medi-Cal Executive Policy Group for regional collaboration. The board reviewed community investment strategies for 2026, including a framework for reinvesting resources into provider partnerships and affordable care access. Financial performance was reported as stable with strong equity levels. Additional topics included updates on federal and state legislative landscapes, a member navigation initiative aimed at reducing administrative disenrollments, and reports from advisory committees on compliance, audit workplans, and population health management.

The board received reports from the Family Advisory Committee and the Pediatric Clinical Advisory Committee. Discussions included updates on the Whole Child Model, Medi-Cal Rx pharmacy benefit changes such as prior authorization for over-the-counter tests and GLP-1 medication coverage, and challenges regarding provider paneling and staffing in therapy programs. The committee reviewed member services, transition to adulthood planning for CCS members, and the implementation of updated eligibility determinations for NICU and High-Risk Infant Follow-up.

The meeting included strategic updates on the State Budget and CenCal Health's 2026-2030 vision. Discussions focused on the implementation of CalAIM Transitional Rent, specifically addressing data-sharing challenges, system integration, and collaboration between behavioral health and managed care plans. The committee reviewed Medi-Cal enrollment and retention strategies to mitigate disenrollment, and received an overview of upcoming legislative changes regarding eligibility, work requirements, and benefits, emphasizing the need for community-based outreach and navigation support.

This document reflects upon CenCal Health's three-year strategic plan, which culminated in 2025. The plan was guided by four priorities, including cultivating community partnerships to support access to care through grant funding for workforce training, provider recruitment, and medical practice growth. It also emphasized advocacy for quality healthcare for all and elevating community health through collaboration, aligning with CenCal Health's mission to improve community health and well-being through access to high-quality services, education, and outreach.