Kim Macakiage

Director of 1115 Waiver and Accountable Care


Kim Macakiage serves as the Director of 1115 Waiver and Accountable Care initiatives at Integral Care. She leads Integral Care’s Certified Community Behavioral Health Clinic (CCBHC) program and oversees the clinical operations for complex case management and value-based care services. She is dedicated to improving the health status of vulnerable populations and operationalized the agency’s first-ever behavioral health home initiative intended to encourage the integration of physical wellness and mental health. With enhanced care coordination, linkages to primary care increased up to 50 percent for the population served. She took part in negotiating a shared savings/risk-based arrangement to serve individuals with complex diagnoses and multi-morbidities. Her project management experience includes a variety of performance monitoring, program evaluation, and change management. Kim serves on the Texas Council’s Managed Care Steering Committee and is a National Council CCBHC Mentor Program lead, where she works with other centers to share best practices. Kim resides in Round Rock, TX, with her family, loves reading, and baking with her daughter. She has a Master of Public Policy from the UCLA Luskin School of Public Affairs and a Bachelor in Psychology from Spelman College.