Community Supports
Community Supports are no-cost Medi-Cal services that help with non-medical needs like housing, food and in-home care. These services are for members with complex health needs whose conditions may be made worse by not having a safe place to live, not enough food or trouble getting care.
If you qualify, Community Supports can help you:
- Find and move into housing.
- Keep your housing safe and stable.
- Recover in a safe place after a hospital stay.
- Get meals that meet your health needs.
- Get help at home with cooking, cleaning or personal care.
- Make your home safer with ramps or medical equipment.
- Take a break if you care for a loved one.
- Stay safe and sober if you are experiencing substance use.
You may be able to get Community Supports if you are a Medi-Cal member with complex health or social needs.
You can be referred by:
- Your Enhanced Care Management (ECM) provider.
- Your primary care doctor or specialist.
- Hospital discharge staff or care coordinators.
- County or community-based social service agencies.
- Behavioral health or substance use treatment providers.
- Your managed care plan (such as Central California Alliance for Health).
You and your family can also ask about Community Supports directly.
To start the process, fill out the form below for the service you are interested in:
- Member Housing Referral Form.
- Member Meals Referral Form.
- Member Personal Care and Homemaker Services and Respite Services Referral Form.
- Environmental Accessibility and Adaptability (EAA) Member Referral Form.
Members can also call the Alliance Member Services Department at 800-700-3874 from 8 a.m. to 5:30 p.m., Monday through Friday.
If you need language assistance, we have a special telephone line to get an interpreter who speaks your language at no cost to you. For the Hearing or Speech Assistance Line, call 800-735-2929 (TTY: Dial 711).
You can use the ECM/CS Member Service Change Request Form to ask for changes to the services you are getting.
Read more about each Community Support below.
Housing
Housing Deposits help you find and get one-time services that can help you set up your home, like:
- Security deposits for an apartment or home.
- Set-up fees/deposits for utilities or service access and utility arrearages.
- First month coverage of utilities, like gas, electricity, heating and water.
- First month’s and last month’s rent.
- Services necessary for health and safety, like pest control and one-time cleaning.
- Goods such as:
- An air conditioner or heater.
- Medically necessary adaptive aids and services.
- Hospital beds, Hoyer lifts, air filters, specialized cleaning or pest control supplies.
Housing services don’t provide you with a room or support you with ongoing rent costs beyond the first and last month’s coverage.
This service can help you get housed and stay housed. Services include:
- Help identifying behaviors that may put your housing at risk, such as late rental payment, hoarding, substance use and other lease violations.
- Education and training on the role, rights and responsibilities of the tenant and landlord.
- Coaching on developing relationships with landlords/property managers to be a successful tenant.
- Communicating with landlords on your behalf.
- Helping resolve disagreements with landlords and/or neighbors to prevent eviction.
- Advocating for the member and connecting them with community resources when they are at risk of losing housing.
- Helping with the yearly housing recertification process.
- Creating a housing crisis plan for future issues.
- Providing ongoing help with lease compliance, including support with household activities.
- Making sure your home is safe and livable.
- Providing early support services listed in the crisis plan when housing is at risk.
- Teaching life skills like budgeting, financial literacy and connecting to community resources.
All services should be based on the person’s individual needs and included in their housing support plan. Each person may only need some of the services listed above.
Housing transition services help members find and move into housing. Services are based on your needs and a housing support plan may include:
- Looking at your housing needs and any barriers to housing.
- Searching for available housing options.
- Helping with housing applications and gathering documents (e.g., ID, birth certificate).
- Connecting you with rent assistance (e.g., Section 8, other subsidies).
- Helping with moving costs, adaptive tools or home modifications.
- Making sure your new home is safe to move into.
- Coordinating the details of your move.
- Coordinating transportation for housing-related appointments or move-in.
- Coordinating environmental changes for accessibility (e.g., ramps).
These services do not include rent payments or room and board.
Recuperative Care gives you a short-term, safe place to stay if you are homeless or do not have stable housing. It helps you recover after being in the hospital or after a medical treatment. Staff can help with wound care, medications and connecting you to other support.
A member may qualify if they are experiencing homelessness or housing instability and:
- Were recently discharged from the hospital after surgery or treatment and need time to heal in a clean, safe environment.
- Have an open wound needing daily dressing changes and cannot manage the care on their own due to their living situation.
- Need ongoing IV medications or injections but do not have access to refrigeration, clean water or medical supplies at home.
- Are recovering from severe pneumonia or respiratory illness and need a temperature-controlled space and monitoring.
- Were treated for a mental health crisis and need stabilization in a structured setting before returning home.
- Were discharged from a psychiatric or substance use treatment center and are not yet ready to transition into housing on their own.
- Require frequent follow-up appointments.
- Need help reconnecting with a primary care provider, behavioral health or social support services before finding housing.
- Need support regaining strength and the ability to perform activities of daily living (ADLs) like bathing, walking or eating independently.
Short-Term Post-Hospitalization Housing provides a safe, temporary place for members without a stable home who need ongoing support after leaving a facility. This includes individuals recovering from medical, psychiatric or substance use conditions who would face health risks due to homelessness or unstable housing.
This service is for members transitioning from:
- Inpatient hospitals (acute, psychiatric or substance use treatment).
- Residential mental health or recovery treatment programs.
- Correctional or juvenile facilities.
- Nursing homes or skilled nursing facilities.
- Recuperative care programs.
The housing may be in an individual or shared setting. While in this housing, members get support to continue recovery, regain strength and prepare for long-term housing.
Members can get support with:
- Case management and care coordination.
- Ongoing support with:
- Medical recovery (e.g., medication, follow-up care).
- Psychiatric stabilization.
- Substance use recovery.
- Performing Activities of Daily Living (ADLs), such as bathing, dressing and moving.
- Connecting to mental health, primary care and social services.
- Accessing benefits and referrals for permanent housing.
- Monitoring of recovery progress.
- Meals and safe, interim housing.
- Transportation for follow-up appointments.
- Developing a housing support plan and completing a housing needs assessment.
- Housing Transition Navigation Services to prepare for permanent housing.
- Individualized housing planning.
Transitional Rent can help pay your rent for up to 6 months. This help is for people who meet all of the following conditions:
- You are homeless or at risk of becoming homeless by federal definitions.
- You have a behavioral health condition.
- You had a major life change in the past 6 months, such as leaving foster care, jail, prison or another institution.
You can receive Transitional Rent for up to 6 months during the program period. The 6-month limit includes room and board services you may get through:
- Recuperative Care.
- Short-Term Post Hospital Housing.
- Transitional Rent.
Your Transitional Rent provider may:
- Help you find temporary or permanent housing. When possible, they will try to help you find permanent housing first.
- Make sure your housing meets basic living standards.
- Pay your landlord or housing provider on time.
- Work with other housing and care providers to support you.
- Help you plan for stable housing after Transitional Rent ends.
- Check if you qualify for other housing programs for people with behavioral health needs.
- Help with landlord communication, lease questions, payment plans or problems that come up.
- Make sure payments are only made while you live in the housing.
- Make sure payments are only used for approved costs, such as:
- Rent.
- Storage fees.
- Required amenity fees.
- Utilities included in the rent.
Transitional Rent only covers costs for you and your family members who qualify. If you share housing with roommates, it will not pay the full rent for the entire unit.
The services you get will be based on your personal needs. They will be written in your housing support plan. You may not need all of the services listed above.
Meals
Medically Tailored Meals and Medically Supportive Food help members recover and be healthy. These services are important for people with chronic conditions or after a hospital stay.
This service includes:
- Meals delivered to your home after a hospital or nursing home stay to help recovery.
- Medically Tailored Meals designed for people with chronic diseases, planned by a professional.
- Meals that consider your specific medical conditions, symptoms, allergies, medications and nutritional needs.
- Medically supportive groceries that meet health-related dietary requirements.
- Nutrition, cooking or health education.
These services can help people stay healthier, avoid going back to the hospital and feel more supported by giving them the right food at important times in their care.
Other
Environmental Accessibility Adaptations (EAAs), also known as Home Modifications, are changes to your home that help you stay safe, healthy and independent. These changes may help you avoid having to move into a place like a nursing home.
Examples of EAA services include:
- Ramps and grab bars to make it easier to get around.
- Wider doorways for wheelchair access.
- Stair lifts.
- Roll-in showers and safer bathrooms.
- Special plumbing or electric work to use medical equipment.
- Personal Emergency Response System (PERS) if you're alone often and need help quickly.
You can get these services whether you own or rent your home. If you rent, your landlord must agree in writing to any changes.
To get EAA services, we’ll need:
- A doctor’s order or a letter saying why it is needed.
- A home evaluation.
- A home visit to ensure it fits.
We’ll do our best to approve and install the service within 90 days, unless more time is needed to get landlord permission or if you ask for more time.
Personal Care Services and Homemaker Services are provided for members who need help with Activities of Daily Living (ADLs) such as bathing, dressing, using the bathroom, walking or eating. Personal Care Services can also include assistance with Instrumental Activities of Daily Living (IADLs) such as meal preparation, grocery shopping and money management.
It also includes services provided through the In-Home Support Services (In-Home Supportive Services) program, including:
- House cleaning.
- Meal preparation.
- Laundry.
- Grocery shopping.
- Personal care services (such as bowel and bladder care, bathing, grooming and paramedical services).
- Accompaniment to medical appointments.
- Protective supervision for the mentally impaired.
The Personal Care and Homemaker Services Community Support benefit can be used:
- When a member needs more help than the hours they get through the county In-Home Supportive Services (IHSS) hours, or if IHSS hours have been used up.
- During the waiting period for IHSS approval, if the member has already been referred to IHSS. This includes care before and up to the IHSS application date.
- For members who can’t get IHSS, to help prevent a short stay in a skilled nursing facility (up to 60 days).
Respite Services provide short-term relief to caregivers who regularly help a Medi-Cal member with personal care or supervision. These services are non-medical and are designed to give caregivers time to rest, take care of personal needs or prevent burnout. This support can help families continue providing care at home and avoid unnecessary facility placements.
Respite Services include:
- Hourly care provided on an as-needed basis when the usual caregiver is unavailable.
- Full-day or overnight care for temporary relief.
- Help with the member’s basic daily needs such as:
- Bathing, dressing or feeding.
- Using the bathroom or moving around safely.
- Taking part in normal routines like social activities or hobbies.
- Supervision to ensure safety and well-being.
Types of respite services
- Home Respite Services: Care is provided in the member’s own home or wherever the member is currently living.
- Facility Respite Services: Care is provided in a licensed, approved care setting outside the home.
Respite Services are especially important when caregivers are experiencing stress, illness or have other responsibilities that make it hard to provide care 24/7. These services help keep loved ones safe at home and support caregiver health and well-being.
Sobering centers are safe, supportive places for individuals who are publicly intoxicated due to alcohol and/or drugs and would otherwise be taken to the emergency room or jail. These centers primarily serve people who are experiencing homelessness or unstable housing.
This service includes:
- A short-term place to safely sober up.
- A temporary bed, hydration, meals and rest.
- Medical triage, basic treatment (e.g., wound care, nausea) and lab testing.
- Showers and laundry services.
- Substance use counseling and education.
- Referrals to behavioral health services and homeless care support services.
- Navigation and warm hand-offs to follow-up care, including housing, mental health and recovery programs.
Staff can also:
- Connect member to follow-up care.
- Work with law enforcement, EMS and outreach teams help identify individuals who can be diverted to sobering centers instead of jail or the ER.
- Arrange emergency transport if needed.
Contact Member Services
Resources
Resources
Apply for ECM
Apply for Community Supports
- Member Housing Referral Form
- Member Medically Tailored Meals Referral Form
- Member Personal Care and Homemaker Services and Respite Services Referral Form
- Environmental Accessibility and Adaptability (EAA) Member Referral Form
Change ECM/CS services
