Provides Enhanced Care Management, which is comprehensive care management from a single lead care manager who coordinates all health and health-related care, including physical, mental, and dental care, and social services. Also coordinates client transportation for health care appointments.

Adult populations:

• Adults At Risk for Avoidable Hospital or Emergency Department (ED) Utilization
• Individuals and Families Experiencing Homelessness
• Serious Mental Illness (SMI)/Substance Use Disorder (SUD)
• Individuals Transitioning from Incarceration
• Adults Living in the Community and At Risk for Long-Term Care Institutionalization
• Nursing Facility Residents Who Want to Transition to the Community

Children & youth populations:

• Youth At Risk for Avoidable Hospital or Emergency Department (ED) Utilization
• Children (up to Age 21) Experiencing Homelessness
• Transitioning from Incarceration
• Enrolled in California Children's Services (CCS)/ CCS Whole Child Model with Additional needs Beyond the CCS Eligible Condition
• Involved in, or with a History of Involvement in, Child Welfare Services/Programs (Including Foster Care up to Age 26)
• Experiencing Serious Emotional Disturbance or identified to be at Clinical High Risk for Psychosis or Experiencing a First Episode of Psychosis