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Program: California Department of Health Care Services - CalAIM - Community Supports

Agency: California Department of Health Care Services


Resource Number: 80961043
Alternate name: Medi-Cal Transformation Initiatives, CalAIM

 Description

CalAIM, also known as the Medi-Cal Transformation Initiatives, works with partner agencies to provide community-based services and support that address health-related social needs.

Community Support offerings vary for each managed care plan within each county. Services are also dependent on partnerships between each managed care plan and its service partners.

Medi-Cal managed care health plans may offer one or more of the following services to qualifying members:

  • Housing transition navigation services
  • Housing deposits
  • Housing tenancy and sustaining
  • Short-term post-hospitalization housing
  • Recuperative care (medical respite)
  • Respite services
  • Day habilitation programs
  • Nursing facility transition/diversion to assisted living facilities
  • Community transition services/NF transition to a home
  • Personal care and homemaker services
  • Environmental accessibility adaptations (home modifications)
  • Meals/medically tailored meals
  • Sobering centers
  • Asthma remediation
  • Dental Care





Program Phones:
800-407-4627
Anthem Blue Cross Customer Care Center for Medi-Cal Managed Care
800-675-6110
Health Net Medi-Cal Member Services
833-721-6012 option 2
Kaiser Permanente - Referrals for Community Supports
888-665-4621
Molina Healthcare Medi-Cal Member Services
800-430-4263
Medi-Cal Managed Care Health Care Options - To Switch Plans/Pick a Plan/Enrollment Locations

Website: calaim.dhcs.ca.gov/

Location information
Sites offering this program
+ Community Supports ->
Community Supports  
Location: No physical address.
Program Hours:
Health Care Options: Monday through Friday, 8 am - 6 pm
Disabilities Access: Not applicable.
Mailing Address: No mailing address.
Service Area:

Program Delivery
Eligibility: Members in Medi-Cal Managed Care with complex physical behavioral, developmental, and social needs. Members do not have to be eligible for Enhanced Care Management (ECM) to be eligible for one or more Community Support.
Community Supports are optional for Medi-Cal members and Medi-Cal managed care health plans. All Medi-Cal managed care plans (MCPs) are encouraged to offer as many of the 14 pre-approved Community Supports as possible.
Languages: English
Application Process: Members can contact their health plan and ask to see if they qualify by calling the number on the back of their insurance card or by having their health and social services provider submit a referral to their health plan.
Medi-Cal health plans will determine whether a member is qualified to receive Community Supports (CS). If qualified, the health plan will either advise the member to contact a specific partner agency, or a Community Supports provider will reach out to the member to see if they would like to receive the benefit.
Payment methods:
Program Fees: Fees vary by service and managed care plan. Services may or may not be covered by Medi-Cal.
Documents Required: Medi-Cal ID.
Service Area:
Defined coverage area:
CA -Statewide



 





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