Enhanced Care Management & Community Supports –
California Advancing and Innovating Medi-Cal (CalAIM) is a state effort to create a more equitable, coordinated and person-centered approach to improving health outcomes of those impacting with complex care management needs. CalAIM targets individuals experiencing difficult life and health circumstances including;
- Individuals and families experiencing homelessness
- Children and adults who are high utilizers of healthcare facilities like emergency departments and hospitals
- Adults with serious mental illness or substance use disorder
- Adult nursing facility residents transitioning back into community living
Enhanced Care Management address both clinical and non-clinical needs through intensive coordination of health care services. Additionally, ECM enrollees will have access to Community Support services to meet social needs, including medically supportive food or housing supports.
Libertana employs Enhanced Care Managers who will arrange care and services throughout the physical, behavioral, dental, developmental and social service delivery systems. Our goal is create better access for care for ECM enrolled clients.
Available Community Support Services includes:
- Housing Transition Navigation Services
- Housing Deposits
- Housing Tenancy and Sustaining Services
- Short-Term Post Hospitalization Housing
- Recuperative Care (Medical Respite)
- Day Habilitation Programs
- Caregiver Respite Services
- Nursing Facility Transition/Diversion to Assisted Living Facilities
- Community Transition Services/Nursing Facility Transition to a Home
- Personal Care and Homemaker Services
- Environmental Accessibility Adaptations (Home Modifications)