CalAIM community supports: promoting independent living among older adults and people with disabilities
- Collection:
- Health Policy and Services Research
- Author(s):
- Janoski, Brianna Ensslin, author Kordomenos, Cleanthe, author Franco, Nils, author
- Contributor(s):
- California HealthCare Foundation, issuing body.
- Publication:
- [Oakland, CA] : California Health Care Foundation, April 2022
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Aged Community Support Disabled Persons Health Services for the Aged Home Care Services Independent Living Medicaid California United States
- Genre(s):
- Technical Report
- Abstract:
- California allows Medi-Cal managed care plans (MCPs) to offer Community Supports that provide person-centered supports and services to address a variety of social drivers of health; several of these services can help older adults and people with dis abilities live independently. Community Supports are one component of the CalAIM (California Advancing and Innovating Medi-Cal) initiative, a multiyear plan launched on January 1, 2022, by the California Department of Health Care Services (DHCS) to transform the Medi-Cal program. Community Supports provide Medi-Cal MCPs with greater flexibility to invest in community-based interventions to support older adults and people with disabilities to remain in their own homes, participate in their communities, and lead lives in their setting of choice. MCPs may offer any of 14 preapproved Community Supports (PDF), 5 referred to nationally as In Lieu of Services (ILOS). Community Supports are optional for MCPs to provide. With state approval, MCPs can add new Community Supports every six months or stop offering them on an annual basis. Enrollees similarly have the flexibility to accept or decline these services. This report focuses on and provides an overview of six Community Supports most relevant to supporting independent living for older adults and people with disabilities, including: (1) Respite Services. Short-term services aimed at providing relief to caregivers of those who require occasional or temporary assistance or supervision. (2) Nursing Facility Transition/Diversion to Assisted Living Facilities. Services that help people remain in the community by facilitating transitions from a nursing facility back into a home-like, community setting (e.g., an ALF), or prevent nursing facility admissions for those with imminent need. (3) Community Transition Services/Nursing Facility Transition to a Home. Nonrecurring support, including set-up expenses, to avoid further institutionalization and help people remain in the community as they return home from a licensed facility. (4) Personal Care and Homemaker Services. Supports for people needing assistance with daily activities, such as bathing, dressing, cooking, eating, and personal hygiene. (5) Environmental Accessibility Adaptations (Home Modifications). Physical adaptations to a home when necessary to ensure health, welfare, and safety, or promote greater independence at home through improved functionality and mobility. (6) Medically Supportive Food / Meals / Medically Tailored Meals. Meal services to help people achieve their nutritional goals at critical times (e.g., after a hospital or nursing facility stay) to regain and maintain their health.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (31 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918557471106676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918557471106676