Semi-Statewide EHR

Semi-Statewide Electronic Health Record

CalMHSA has brought 23 counties together to implement a semi-statewide electronic health record (EHR) — a step toward creating a vision of wholistic county behavioral health data aggregation and interoperability. The initial phase launched in July 2023 and involves over 37% of the state’s Medi-Cal population. Additional counties are expected to join in 2024.

CalMHSA is leading the initiative to streamline and expand the way data is collected and managed through current county EHR systems. As the first EHR designed for behavioral health care, this system:

  • Reflects the needs of county clinicians and direct service staff
  • Tells a complete story about the individuals in their care
  • Integrates CalAIM changes


The EHR also includes a set of recommendations for a Centers for Medicare & Medicaid Services (CMS) interoperability work plan that each county behavioral health agency can use to guide short and long-term priorities, as well as submit the 2023-24 work plan to the Department of Health Care Services. It remains at the forefront of facilitating state and federal interoperability mandates, such as Assembly Bill 133, the California Data Exchange Framework, and the CMS Interoperability and Patient Access rule.

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Participating Counties

Colusa, Contra Costa, Fresno, Glenn, Humboldt, Imperial, Kern, Kings, Lake, Marin, Mono, Nevada, Placer, 
Sacramento, San Benito, San Joaquin, San Luis Obispo, Santa Barbara, Siskiyou, Sonoma, Stanislaus, Tulare, Ventura.