Eligible Medi-Cal Members
May Receive Services at No Cost
Coast Care partners with participating Medi-Cal Managed Care Plans to provide authorized Community Supports services that help eligible members remain safe, independent, and supported at home.
Services are subject to health plan authorization. Eligibility and availability are determined by the member's Medi-Cal Managed Care Plan.
About the Program
What is CalAIM?
CalAIM (California Advancing and Innovating Medi-Cal) is a statewide initiative designed to improve health outcomes through a more coordinated, person-centered approach to care.
CalAIM expands the way Medi-Cal supports members by addressing not only medical needs, but also the social and environmental factors that can affect health, safety, and independence.
One component of CalAIM is Community Supports, which allows participating Medi-Cal Managed Care Plans to offer services that may help eligible members remain safely in their homes and communities.
Authorized CalAIM providers in San Diego County
Available around the clock
Serving San Diego families since 2013
Phone screening to check eligibility
Understanding the Benefit
What Are Community Supports?
Community Supports are optional services offered by participating Medi-Cal Managed Care Plans for eligible members with identified health, functional, or caregiver support needs.
These services are intended to complement medical care and help individuals maintain their independence, reduce avoidable hospitalizations, and support successful living in the community whenever possible.
Community Supports are not available to all Medi-Cal members, and service availability may vary by health plan and individual circumstances.
What We Deliver
What Services May Be Available?
Depending on a member's needs and health plan authorization, Community Supports may include services such as:
Personal Care Assistance
Support with activities of daily living, including:
- Bathing
- Dressing
- Grooming
- Mobility assistance
- Transferring and ambulation
Homemaker Services
Assistance with tasks that help maintain a safe home environment, including:
- Meal preparation
- Laundry
- Light housekeeping
- Shopping and errands
Family Caregiver Support
Temporary relief and support that may help family caregivers continue providing care safely and effectively.
Transition Support
Services that may assist eligible members who are returning home following a hospitalization, rehabilitation stay, or other care transition.
Services vary based on health plan benefits, member needs, and authorization requirements.
Eligibility
Who May Be Eligible?
Community Supports may be considered for individuals who:
- Need assistance with daily activities
- Have chronic or complex health conditions
- Are at risk of hospitalization
- Are at risk of nursing facility placement
- Need support to safely remain at home
- Have caregivers who may benefit from additional support services
A member's physician, care manager, hospital discharge planner, social worker, or healthcare team may help identify whether Community Supports should be explored.
Not sure if someone qualifies?
We offer a free phone screening to review eligibility and answer your questions. There's no obligation. Just a clear picture of what support looks like.
See If You QualifyOr call us anytime at (858) 285-0938
Authorization
How Are Services Approved?
Eligibility and authorization decisions are made by the member's Medi-Cal Managed Care Plan.
The health plan evaluates each member's individual circumstances and determines whether Community Supports can be authorized based on program requirements and assessed needs.
Not all Medi-Cal members qualify, and authorization is not guaranteed.
Next Steps
How Can Members Learn More?
Members who believe they may benefit from Community Supports can:
- 1Contact their Medi-Cal Managed Care Plan.
- 2Speak with their care manager or Enhanced Care Management (ECM) provider.
- 3Discuss their needs with their physician or healthcare team.
- 4Ask whether Community Supports may be appropriate for their situation.
The member's health plan is responsible for determining eligibility and authorizing services.
Our Role
Coast Care's Role
Coast Care is a provider of authorized Community Supports services for participating health plans in San Diego County.
Our caregivers work alongside health plans, care managers, healthcare providers, and family caregivers to deliver approved services that support member safety, independence, and quality of life at home.
Coast Care does not determine eligibility, approve services, or make coverage decisions. Our role is to provide services that have been authorized by the member's health plan.
Fast Response
We respond to referrals promptly and can typically begin an assessment within 24 to 48 hours of contact.
Care Plan Alignment
Our caregivers follow documented care plans and coordinate directly with supervising clinical teams to stay aligned on goals.
Clear Communication
We keep referring partners informed. Families, care managers, and health plans are never left guessing about status or services.
Get Started
Ask about CalAIM services
Fill out the form below and our CalAIM team will reach out to review eligibility and answer your questions. Prefer to talk first? Call (858) 285-0938.
Contact Coast Care
If you have questions about the Community Supports services provided by Coast Care, our team can help explain our role as a provider and direct you to appropriate resources for eligibility and authorization information.
Important Information
Community Supports are optional services offered through participating Medi-Cal Managed Care Plans. Eligibility, authorization, duration, and availability of services are determined by the member's health plan and applicable program requirements. Coast Care does not determine eligibility for Medi-Cal benefits, Community Supports, or Enhanced Care Management services. Services are subject to health plan approval and may not be available to all members.