Description: Offers medically appropriate and cost-effective alternative services or settings to those covered under the Medi-Cal State Plan. Help address members with complex needs and who are facing difficult life and health circumstances. Health Plan offers these Community Supports: Housing Transition Navigation Services: assistance to obtain housing. This may include assistance with searching for housing or completing any housing applications if appropriate and authorized by Health Plan. Housing Deposits: Health Plan to provide one-time funding to establish basic housing, including assistance with security deposits to obtain a lease or assisting with first month's coverage of utilities or rent. Housing Tenancy and Sustaining Services: assistance helping residents keep safe and stable housing once housing is secured. Short-Term Post Hospitalization Housing: provides those that do not have a residence, and who have a high medical or behavioral health needs, a place to recover after a hospital or facility stay. Recuperative Care (Medical Respite): short term housing for those who no longer require hospitalization but need to heal from an injury or illness. Medically Tailored Meals/Medically-Supportive Food: meals that are delivered to the home that are tailored to meet members dietary needs. Sobering Center: an alternate, short-term location to sober for those who are found to be under the influence in public and would otherwise be transported to emergency services or jail. Asthma Remediation: physical changes to the home that are necessary to help members live in the home without environment or asthma-related triggers. Environmental Accessibility Adaptations (Home Modifications): physical changes to the home to allow individual to function with greater independence and not require care in a nursing facility. Day Habilitation Programs: Programs designed to provide the member in obtaining and improving self-help, social skills, and adaptive skills to live successfully in a natural environment. Personal Care and Homemaker Services: Services provided to individuals who need assistance with activities of daily life like bathing, dressing, feeding, housekeeping, or grocery shopping. Respite Services: Short-term services provided to caregivers of those who require occasional temporary supervision to give relief to the caregiver. Nursing Facility Transition/Diversion to Assisted Living Facilities: Services to help members live in the community and avoid nursing facility stays when possible. Community Transition Services/Nursing Facility Transition to a Home: Services to help members live in the community and avoid further institutionalization by providing non-recurring set up expenses for individuals transitioning from a licensed facility to a living arrangement in a private residence.
Eligibility: To qualify, must be an active Medi-Cal Health Plan of San Joaquin member and meet one of the following requirements:. Adults and their Families Experiencing Homelessness. Adults At Risk for Avoidable Hospital or Emergency Department (EDO) Utilization (formerly "High Utilizers). Adults with Serious Mental Health and/or Substance Use Disorder (SUD) Needs. Individuals Transitioning from Incarceration (some Whole Person Care (WPC) counties). Adults with Intellectual or Developmental Disabilities (I/DD). Pregnant or Postpartum Adults. Adults Living in the Community and At Risk for Long Term Care (LTC) Institutionalization. Adults Nursing Facility Residents Transitioning to the Community. Adults without Dependent Children/Youth Living with Them Experiencing Homelessness. Children and Youth Populations of Focus: ? Homeless Families or Unaccompanied Children/Youth Experiencing Homelessness ? Children and Youth At Risk for Avoidable Hospital or ED Utilization ? Children and Youth with Serious Mental Health and/or SUD Needs ? Children and Youth Enrolled in California Children's Services (CCS) or CCS Whole Child Model (WCM) with Additional Needs Beyond the CCS Condition ? Children and Youth Involved in Child Welfare ? Pregnant or Postpartum Youth. Pregnant and Postpartum Individuals At Risk for Adverse Perinatal Outcomes who are subject to racial and ethnic disparities. Individuals Transitioning from Incarceration
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