PATH Collaborative

PATH Collaborative

The CPI initiative provides funding for regional collaborative planning efforts to support the implementation of Enhanced Care Management (ECM) and Community Supports. 

The Santa Cruz County CPI group is composed of stakeholders that work together to identify, discuss, and resolve topical implementation issues, and share best practices. We identify how Providing Access and Transforming Health (PATH) and other CalAIM funding initiatives – including the Technical Assistance Marketplace – may be used to identify and address implementation and sustainability needs and gaps.

Benefits to participating in the Santa Cruz County PATH Collaborative

As the facilitator selected for the Santa Cruz County PATH Collaborative, HIP hosts and facilitates convenings, including our monthly Collaborative meetings as well as the Enhanced Care Management and Community Supports workgroup meetings. HIP works with participants to develop programmatic activities contributing to CalAIM’s whole system, a person-centered approach to care.

Program Committees & Meeting Details

Learning Circles

CalAIM Learning Circles are participant-centered spaces—both informal and formal—where CalAIM providers can connect, share best practices, ask questions, and build relationships with others doing similar work. Topics have included Medi-Cal policy impacts, closed-loop referrals, the Data Exchange Framework, outreach and engagement strategies, invoicing, and services for children and youth, among others.

Monthly CPI Meetings

CPI (Collaborative Planning & Initiative) Meetings are monthly forums that bring together healthcare providers, community partners, and MCPs to support the implementation and sustainability of CalAIM initiatives. Topics have included housing supports, policy updates, preparation for new requirements, peer learning, MCP coordination, and long-term sustainability planning.

Community Partners

PATH Collaborative Resources

The Santa Cruz County PATH Collaborative Resources page serves as a centralized hub for tools, materials, and learning opportunities that support CalAIM PATH implementation and collaboration across the county, including PATH CPI Monthly Meeting resources, Learning Circle session materials, access to the Santa Cruz Provider Directory, sustainability-related resources, and relevant materials developed outside of HIP.

 

If you have any questions about the resources on this page, please contact us at path@hipscc.org.

Santa Cruz path cpi monthly meetings

As the facilitators of the Santa Cruz County PATH Collaborative, the Health Improvement Partnership (HIP) organizes and leads monthly meetings to support the implementation of Enhanced Care Management (ECM) and Community Supports. These meetings bring together stakeholders to share insights, address programmatic opportunities, and develop activities that align with CalAIM’s whole-person, system-focused approach to care.


If you would like to join our monthly convenings please register here.

Santa Cruz County Provider Directory

Last Updated: 10/30/2025

The following directory was developed using data received by the Central California Alliance for Health (the Alliance) and Kaiser Permanente (Kaiser). The sheet lists Community Supports (CS) and Enhanced Care Management (ECM) providers affiliated with the Alliance, as well as Community Supports and ECM providers affiliated with Kaiser Permanente. This directory is maintained and updated quarterly by HIP. 

 

If you are a Community Supports or ECM provider, please ensure that your information is current on the directory, including whether you are providing in-person or telehealth services, accepting new clients, hours of operation, and the appropriate contact information.

CalAIM Provider Learning Circles

HIP offers ECM and Community Supports training as part of the CalAIM Provider Learning Circles. These trainings are designed to strengthen provider knowledge, build implementation capacity, and support high-quality care coordination for Medi-Cal members. Each session is tailored to the real-world needs of ECM and Community Supports providers, featuring practical tools, best practices, and opportunities for peer learning. 

Please see our full playlist with all recordings available here.

UPCOMING

May 22nd 11:00AM – 12:30PM

Graduation, Step-Down & Disenrollment in ECM


Best practices for case closure, step-down planning, and administrative disenrollment across Populations of Focus. This training supports compliant, member-centered transitions and protects program integrity.

Register Here!

 

UPCOMING

May 1st 11:00AM – 12:30PM

Collaborative Care Planning in ECM


Guidance on developing collaborative, measurable, and policy-aligned care plans that translate assessment findings into actionable goals and coordinated interventions. This training strengthens documentation of medical necessity, cross-system coordination, and transitional care planning to support compliance.

Register Here!

UPCOMING

April 24th 11:00AM – 12:30PM

Managing ECM Coverage Transitions


Practical guidance on managing coverage gaps, enrollment changes, and churn while maintaining continuity of care and regulatory compliance. This training supports program sustainability and protects both members and providers during enrollment transitions.

Register Here!

 

UPCOMING

April 3rd 11:00AM – 12:30PM 

Screening, Eligibility & Risk Identification in ECM


Structured approaches to eligibility screening, risk stratification, and pre-service chart review to ensure appropriate enrollment and prevent duplication of services. This training strengthens compliance, supports accurate enrollment decisions, and reduces audit vulnerability.

Register Here!

12/12 Case Management Progress Notes: Clear, Skill-Based, and Client-Centered Documentation

 

12/5 Strengthening Care Plans through SDOH: Screenings, Z-Codes and Documentation of Medical Necessity

11/14 Comprehensive Assessment, Care Plans, & Transition of Care

10/31 Quality Documentation: Why it Matters

10/17 Working with Children and Youth in ECM

9/30 Medi-Cal Policy and SDOH Impacts on CalAIM Services

8/27 Closed Loop Referrals

7/30 Data Exchange Framework

 

Program Staff

Maritza Lara, MS, BSN, RN

Maritza Lara

MS, RN, PHN

Berenice Herrera-Lopez

Berenice Herrera-Lopez

Operations and Program Director

Danielle Gaspar-Herrera, MPH

Operations and Program Manager

Funding Acknowledgement to DHCS

We thank the California Department of Health Care Services (DHCS) for its support of CalAIM initiatives. Santa Cruz County was awarded $28.7 million through CITED Round 3 grant funding to strengthen infrastructure and advance whole-person, equity-focused care for Medi-Cal members.

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