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:
- Housing Transition Navigation Services: Helps members find housing and coordinates resources to meet their needs.
- Environmental Accessibility Adaptations: Provides physical modifications to members’ homes to increase their independence or ensure their health, welfare and safety.
- Housing Tenancy and Sustaining Services: Once housing is secured, helps members keep it through advocacy, coordination, resource referrals, life-skills coaching, and health and safety visits.
- Community Transition Services/Nursing Facility Transition to a Home: Coordinates services to cover nonrecurring home set-up expenses when members transition from a licensed facility into the community.
- Housing Deposits: Provides one-time funds to enable members to secure housing.
- Nursing Facility Transition/Diversion to Assisted Living Facilities: 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).
- Personal Care and Homemaker Services*: 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.
- Caregiver Respite*: 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.
- Medically Supportive Meals: Delivers medically tailored meals to the homes of members with chronic conditions to help them achieve their nutrition goals at critical times, helping them regain and maintain their health.
* Currently limited to members transitioning from the Multipurpose Senior Services Program (MSSP).
Frequently asked questions (FAQs) about CS
Who is eligible for CS?
Adult 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:
- Members who were getting similar services through the Multipurpose Senior Services Program (MSSP), Community Care Settings Pilot (CCSP) or Whole Person Care: Bridges to Wellness before 1/1/2022 were automatically enrolled in CS.
- HPSM offers to enroll members who qualify for CS based on their health records.
- 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 three agencies that provide CS to our members:
- Aging and Adult Services: Provides personal care and respite care services to select members.
- Brilliant Corners: Provides housing support services and home safety improvements to help prevent accidents.
- The Institute on Aging: Provides nursing facility to community transitions and home safety improvements to help prevent accidents.
- Mental Health Association of San Mateo County: Provides housing support services.
- MidPen Services: Provides housing sustainability services to select members.
- Mom’s Meals: Provides meals to fit health needs.
For details, see HPSM’s list of contracted CS providers.
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 2023 Member Handbook / Evidence of Coverage. To order a printed Member Handbook, email CustomerSupport@hpsm.org or call Member Services.