Who We Serve

Find Out If You Qualify for Support.

Our services are designed for Medi-Cal members and families who need extra help balancing health and daily life. Not sure if you qualify? We’ll help you find out.

Check My Eligibility See Who Qualifies
image
image
image
The Basics

General Eligibility

Most of our CalAIM services are available to people who:

  • Are enrolled in Medi-Cal through a managed care health plan
  • Meet the criteria for a specific program, such as ECM or Community Supports
  • Live in the area we serve
Enhanced Care Management

ECM Populations of Focus

California has identified groups of Medi-Cal members who may benefit most from ECM. You may qualify if you are:

  • Experiencing Homelessness

    Adults, youth, and families without a stable place to live.

  • At Risk for Avoidable Hospital or ER Use

    People with frequent emergency visits or hospital stays.

  • Living With Serious Mental Health or Substance Use Needs

    Adults and youth who need extra coordinated support.

  • Transitioning From Incarceration

    People returning to the community who need help reconnecting to care.

  • At Risk for Long-Term Care

    Adults who want to keep living safely in the community or transition home from a nursing facility.

  • Children & Youth in Child Welfare

    Young people involved in foster care or child welfare services.

  • Pregnant & Postpartum (Birth Equity)

    Parents in communities experiencing higher rates of poor birth outcomes.

  • Children With Complex Medical Needs

    Kids and youth with serious or ongoing health conditions.

Community Supports

Who May Qualify for Housing Supports

Eligibility for Community Supports is set by each health plan. People who may qualify include:

  • Individuals and families experiencing homelessness
  • People at risk of losing their housing
  • Members who recently left an institution, hospital, or recuperative care
  • Members with health conditions made worse by unstable housing

Don’t Have Medi-Cal or Not Sure?

That’s okay. Reach out and our team will help you understand your options. You can also apply for Medi-Cal online at BenefitsCal.com or through your county social services office. Food and family essentials events are open to the community.

Talk to Our Team