|
Eligibility:
|
Enrolled in Medi-Cal Managed Care and meet the criteria provided below:
Adults are eligible if they meet one or more of the following criteria:
- Are homeless or don’t have a stable place to live
- Are at risk for avoidable hospital or emergency department care.
- Have a serious mental health condition or struggle with drug or alcohol use
- Are transitioning from incarceration
- Are at risk of entering a nursing home or facility
- Are staying in a nursing home or facility and need help to transition back to the community
- Are pregnant or have had a baby in the last year and are Black, American Indian, Alaska Native, or Pacific Islander
Children, or youth under 21, are eligible if they meet one or more of the following criteria:
- Are homeless or don’t have a stable place to live
- Are at risk for avoidable hospital or emergency department care.
- Have a serious emotional or mental health condition or struggle with drug or alcohol use
- Are part of California Children’s Services (CCS) or Whole Child Model (WCM) and have additional social needs. This can include, but is not limited to, food, stable housing, or transportation. Or they are having a mental health or substance use crisis, or have had recent contact with police.
- Are in foster care now or have a history of being in a child welfare program or foster care
- Are transitioning from incarceration
- Are pregnant or have had a baby in the last year and are Black, American Indian, Alaska Native, or Pacific Islander
An Individual or Family Experiencing Homelessness is defined as:
- An individual or family who lacks adequate nighttime residence
- An individual or family with a primary residence that is a public or private place not designed for or ordinarily used for habitation.
- An individual or family living in a shelter
- An individual exiting an institution into homelessness
- An individual or family who will imminently lose housing in the next 30 days
- Unaccompanied youth and homeless families and children and youth defined as homeless under other federal statutes, or
- Individuals fleeing domestic violence
Please note: Enhanced Care Management benefit is optional to members, even if they qualify.
|