California
Medi-Cal Playbook
California's Medi-Cal system — especially through CalAIM — is moving toward prevention, whole-person care, and community-based services. The B Curriculum fits directly into this new model.
CalAIM Alignment
Key Medi-Cal Programs This Fits Into
The B Curriculum is not billed as a "class." Instead, it is used inside existing Medi-Cal services — making it immediately reimbursable.
Enhanced Care Management (ECM)
Whole-person, coordinated care for high-need populations. The B Curriculum provides daily structure for ECM participants.
Community Supports
Housing, food, social services — the B Curriculum helps stabilize daily life alongside these critical supports.
Community Health Worker (CHW) Benefit
CHWs teach breathing techniques, help stabilize routines, connect people to resources, and reduce isolation — all reimbursable.
Peer Support Services
Peers with lived experience help clients manage emotions, lead support groups, provide mentorship, and support recovery routines.
Behavioral Health Services
Licensed providers use the B Curriculum to structure therapy sessions, reinforce coping skills, and support treatment plans.
Workforce Model
Who Delivers This
Three types of providers deliver the B Curriculum — all using existing Medi-Cal reimbursement pathways.
Community Health Workers (CHWs)
Trusted community members who help people navigate systems, provide education and support, and address social needs.
- Teach breathing techniques during visits
- Help clients stabilize routines (Balance)
- Connect people to resources (Banking)
- Reduce isolation (Belonging)
Peer Support Specialists
Individuals with lived experience who support others through shared understanding and mentorship.
- Help clients manage emotions (Breathing)
- Lead support groups (Belonging)
- Provide mentorship (Bench)
- Support recovery routines (Balance)
Licensed Providers
LCSWs, Psychologists, and Counselors who integrate the B Curriculum into clinical practice.
- Structure therapy sessions
- Reinforce coping skills
- Support treatment plans
Day-to-Day
What This Looks Like in Practice
A typical Medi-Cal billable session using the B Curriculum framework.
Example: 30-Minute Medi-Cal Billable Session
Check-in
"How are you feeling today?"
Breathing
Guided technique to reduce anxiety
Core Focus
Balance → daily routine · Banking → financial stress · Belonging → social connection
Action Plan
One small step for the week
Documentation
Progress note (billable requirement)
Real-World Applications
Use Cases Across Settings
The B Curriculum adapts to any environment where people need support.
Schools
- Breathing exercises in classrooms
- Belonging groups for students
- Mentorship (Bench)
Clinics
- Anxiety regulation during visits
- Routine stabilization
- Peer-led support groups
Community Organizations
- CHW outreach
- Resource navigation
- Group workshops
Workforce Programs
- Stress reduction
- Time management (Balance)
- Financial wellness (Banking)
Outcomes
What Changes
Measurable improvements for individuals, organizations, and the Medi-Cal system.
For Individuals
- Reduced anxiety
- Improved emotional control
- Stronger relationships
- Better daily functioning
For Organizations
- Higher engagement
- Lower no-show rates
- Improved outcomes
- Reduced crisis utilization
For Medi-Cal
- Lower ER visits
- Reduced hospitalizations
- Better long-term health outcomes
For Leaders
Administrative Value Proposition
Immediate CalAIM Alignment
- Preventive care
- Whole-person care
- Community integration
Workforce Expansion
- Uses CHWs and peers
- Reduces burden on clinicians
Financial Sustainability
- Uses existing billing codes
- No new reimbursement categories needed
Scalable Model
- Works across systems
- Easy to train
- Low cost
California has already built the funding system.
The B Curriculum provides the operational system.
It meets people where they are, bridges clinical and community care, and strengthens both individuals and systems.