Community Supports (CS), previously known as In Lieu of Services or ILOS, are medically appropriate and cost-effective services.
ECM members may qualify for CS however CS is not restricted solely to members receiving ECM, and other members may be eligible.
What community supports does HPSJ offer?
HPSJ is offering the following community supports in San Joaquin and Stanislaus counties:
Housing Transition Navigation Services: assistance to obtain housing. This may include assistance with searching for housing or completing any housing applications if appropriate and authorized by HPSJ.
Housing Deposits: HPSJ to provide one-time funding to establish basic housing, including assistance with security deposits to obtain a lease or assisting with first month’s coverage of utilities or rent.
Housing Tenancy and Sustaining Services: assistance helping residents keep safe and stable housing once housing is secured.
Short-Term Post Hospitalization Housing: provides those that do not have a residence, and who have a high medical or behavioral health needs, a place to recover after a hospital or facility stay.
Recuperative Care (Medical Respite): short term housing for those who no longer require hospitalization but need to heal from an injury or illness.
Medically Tailored Meals/Medically-Supportive Food: meals that are delivered to the home that are tailored to meet members dietary needs.
Sobering Center: an alternate, short-term location to sober for those who are found to be under the influence in public and would otherwise be transported to emergency services or jail.
Asthma Remediation: physical changes to the home that are necessary to help members live in the home without environment or asthma-related triggers.
Environmental Accessibility Adaptations (Home Modifications): physical changes to the home to allow individual to function with greater independence and not require care in a nursing facility.
Day Habilitation Programs: Programs designed to provide the member in obtaining and improving self-help, social skills, and adaptive skills to live successfully in a natural environment.
Personal Care and Homemaker Services: Services provided to individuals who need assistance with activities of daily life like bathing, dressing, feeding, housekeeping, or grocery shopping.
Respite Services: Short-term services provided to caregivers of those who require occasional temporary supervision to give relief to the caregiver.
Nursing Facility Transition/Diversion to Assisted Living Facilities: Services to help members live in the community and avoid nursing facility stays when possible.
Community Transition Services/Nursing Facility Transition to a Home: Services to help members live in the community and avoid further institutionalization by providing non-recurring set up expenses for individuals transitioning from a licensed facility to a living arrangement in a private residence
For members delegated to Kaiser, Kaiser will maintain responsibility to provide Community Supports for Kaiser members. Please refer to Kaiser Evidence of Coverage for available community supports. If a Kaiser-assigned member wishes to receive other community supports offered by HPSJ and not offered by Kaiser; they may access by choosing reassignment to HPSJ by contacting Customer Service at 1.888.936.PLAN (7526), TTY/TDD 711.
Referrals for ECM or Community Supports may come from multiple sources, such as:
ECM Providers or Community Support Providers
Primary Care Providers or Community Based Organizations