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Member / My Health Plan / Medi-Cal / Benefits & Services

Community Supports (CS)

With CalAIM’s Community Supports (CS) services, HPSM covers non-medical types of help that are designed to help address life challenges that can affect a person’s health. These help reduce hospital admissions or admissions to other institutions. Right now, CS services provide:

This support service includes help to:

Make your home safer: Help with supplies or changes to your home so you can breathe easier and stay healthy.

Reduce asthma triggers: Help with changes to lower the chances of asthma attacks at home.

This Community Supports service will help you find and apply for housing and help you find money to support to pay rent. The following are included:

Housing check-up: Help figuring out what is needed for housing and what might make it hard to stay in a home like how to talk to landlords/property managers and neighbors.

Housing plan: Partnering to make a plan based on what is needed and what works best.

Finding a home: Help looking for places to live and show options.

Getting help: Help with connections to programs that can help pay for housing, like rent help or housing vouchers.

Fair housing education: Teach about housing rights and help with requests needed for changes due to health or other needs.

Provides physical modifications to members’ homes to increase their independence or ensure their health, welfare and safety.

Know Your Rights: Teach Fair Housing rules and how to ask for changes needed due to health or other needs.

Build Good Relationships: Coaching on how to get along with a landlord, property manager, and neighbors to help keep housing.

Work Together: Help with landlord and care team to fix problems that could make it hard to keep housing.

Coordinates services to facilitate members’ transition from nursing facilities to a living arrangement in a private residence or public subsidized housing, including support to cover nonrecurring home set-up expenses.

This support offers the following services depending on individual needs as documented in their housing support plan. Only the services needed will be provided.

Help with Starting Your Home: Help with payment for things you need to move in and make the home safe.

Security Deposit: Help with the funds needed to get the lease.

Health and Safety Services: Payment for one-time cleaning, pest removal, and small repairs so the home meets safety standards (not required by the landlord).

Application Fees: Help with payment for the cost of applying for a home.

This support services offers help with rent for up to six months while you find stable housing. You may be able to get Transitional Rent if you:

  • Have certain health needs, like:
    • Mental health care
    • Help for drug or alcohol use
    • A serious long-term health condition
    • A physical, intellectual, or developmental disability
    • Are pregnant (up to 12 months after giving birth)

AND

  • Are homeless or at risk of losing your home

AND

  • Have had a big life change, such as:
    • Leaving a hospital, treatment center, mental health facility, or nursing home
    • Leaving jail, prison, or a youth correctional facility
    • Leaving foster care after turning 18

Coordinates services to facilitate members’ transition from nursing facilities back into home-like, community settings. Assisted living facilities can include Residential Care Facilities for the Elderly (RCFEs) and Adult Residential Facilities (ARFs).

For individuals who need assistance with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) who could otherwise not remain at home. Services include house cleaning, meal preparation, laundry, grocery shopping, personal care services, accompaniment to medical appointments and protective supervision.

Short-term non-medical services provided to caregivers of members who require intermittent temporary supervision. These services are provided at the member’s home or other location being used as the home or at approved out-of-home locations.

Delivers medically tailored meals to the homes of members with nutrition-sensitive conditions to help them achieve their nutrition goals at critical times, helping them regain and maintain their health. To get this help you must:

  • Have a nutrition-sensitive condition
  • Complete a required nutrition assessment by the Meals Provider

Frequently asked questions (FAQs) about CS

Who is eligible for CS?

Members are eligible for CS if they meet the following:

  • Are an HPSM Medi-Cal or CareAdvantage member
  • Have a Care Manager who will work with them to reach their health goals
  • Are willing to receive CS services

How are members told that they are in CS?

Members who are placed in CS get a letter from HPSM.

Do members pay for CS?

No. Eligible members get CS at no cost.

How can members get CS?

There are three ways that members can get CS:

  1. HPSM offers to enroll members who qualify for CS based on their health records.
  2. Members who want CS can call HPSM Member Services at 650-616-2133. If they are not eligible for CS, HPSM will help them find other supports they can get.

Does getting CS services change the benefits members already have?

No. When members enroll in CS, all their benefits stay the same. CS provides members with non-medical types of help that are designed to help address life challenges that can affect their health.

Can members opt out of CS?

Yes. Members can opt out of CS at any time by telling their CS Provider or HPSM Care Coordinator that they no longer want to be in CS. Their HPSM Care Coordinator can refer them to other supports if they wish.

Who provides CS services?

HPSM contracts with the agencies below to provide CS to our members:

Can members choose their CS provider?

Yes. Members can choose from HPSM’s list of contracted CS providers. If a member wants to see a specific CS provider, they should tell their HPSM Care Coordinator. If a member does not choose an CS provider, HPSM will choose one for them.

Can a member change their CS provider?

Yes. They just need to tell their CS Provider they want to change CS providers. They can also call HPSM Member Services at 650-616-2133 to change.

For more information about Medi-Cal benefits, refer to the Medi-Cal Member Handbook / Evidence of Coverage. To order a printed Member Handbook, email [email protected] or call Member Services.