22-598m Cal MediConnect Enrollees Can Access CalAIM Community Supports Services

Date: 07/29/22

This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary providers, Community Supports (CS) Providers, and Enhanced Care Management (ECM) Providers. 

Eligible Cal MediConnect enrollees live in Los Angeles or San Diego counties

As a reminder, the Department of Health Care Services’ California Advancing and Innovating Medi-Cal (CalAIM) program addresses social determinants of health (SDOH) and advances health equity. On January 1, 2022, two components within CalAIM, Enhanced Care Management and Community Supports, rolled out. Only the Community Supports component applies for Cal MediConnect enrollees.  

Community Supports services

Community Supports services allow members to receive care in locations where they feel most comfortable and keep them in their home or community. There are 14 Community Supports services that are optional to members and will be available at different times during the implementation of CalAIM in 2022–2027. The services can include: 

Asthma remediation	Medically tailored meals
Community transition services/nursing facility transition services to a home	Nursing facility transition/diversion to assisted living facilities
Day habilitation programs	Personal care services and homemaker services
Home modifications	Recuperative care
Housing deposit	Respite services
Housing tenancy and sustaining services	Short-term post-hospitalization housing
Housing transition navigation	Sobering centers

How to refer an enrollee

Use the below resource to connect enrollees to financial assistance, food pantries, housing services, medical care and other no-cost or reduced-cost help:

• Use findhelp (formerly known as Aunt Bertha): Visit communitysupportsecm.findhelp.com to search for Community Supports programs and/or no-cost or low-cost, direct services to support enrollees with SDOH needs. The platform makes it easy to use to refer enrollees to Community Supports providers and close the loop on referrals.

Follow the steps below to create an account.

1. Click Sign Up at the top right-hand corner.
2. Fill in your information and create a password.

Have an account? Log-in and begin a search.

1. Enter a ZIP Code and click Search.
2. Choose a topic from the top, then select a subtopic. Services vary based on the ZIP Code.
3. Select the Community Supports provider or service that best meets the enrollee's needs.

• Use the provider directory: If you identify an enrollee who qualifies for Community Supports, use the provider directory to identify a Community Supports provider to refer the enrollee to, and contact the Community Supports provider based on the directory contact information to provide the enrollee's information.

To view the directory, go to Members > Medi-Cal Members > Provider directory.

• Community Supports Authorization Guides: More information is available on the CalAIM Resources for Providers page on the provider portal and go to Forms & Tools. Community Supports providers can use these guides to check for enrollee eligibility before submitting authorization for Community Supports services.

Additional information

If you have questions regarding the information contained in this update, contact the Health Net* Provider Services Center by email within 60 days, by phone or through the Health Net provider website.