The Whole Person Care program, also known as CalAIM (California Advancing and Innovating Medi-Cal), represents a significant, long-term initiative designed to transform and strengthen Medi-Cal. This program aims to create a more equitable, coordinated, and person-centered healthcare system, ultimately helping individuals maximize their overall health and well-being. It moves beyond just treating immediate health issues to consider the broader needs of each person.
Who Can Benefit from Whole Person Care?
Whole Person Care through CalAIM is particularly relevant for Medi-Cal members facing specific challenges. Individuals experiencing situations such as homelessness, serious mental health conditions, substance use disorders, frequent emergency room visits or hospitalizations, or recent release from incarceration may be eligible for this program. If any of these circumstances apply to you, seeking a referral to learn more about the benefits is encouraged.
How to Access Whole Person Care Services
Getting a referral to the Whole Person Care program is a straightforward process. You can start by asking your primary care physician for a referral. Alternatively, a family member or a friend can also assist in requesting a referral on your behalf. Self-referral is also a valid option, empowering individuals to directly seek support. For further assistance or to inquire about eligibility and enrollment, you can contact the program directly by calling 805.339.1122 or emailing [email protected].
Enhanced Care Management: A Core Component
Healthcare professional explaining Enhanced Care Management, a key part of the Whole Person Care program
A key feature of the Whole Person Care program is Enhanced Care Management. This service, alongside Community Supports, is now accessible through Managed Care Plans that provide medical coverage to eligible Californians with lower incomes. Enhanced Care Management focuses on providing comprehensive support beyond basic medical care. It connects individuals with necessary resources to improve their health and overall well-being. Community Supports further assist by addressing social service needs, such as securing housing and accessing food assistance, recognizing that these factors significantly impact health outcomes.
To delve deeper into Enhanced Care Management and Community Support services offered by Gold Coast Health Plan under CalAIM, you can visit their dedicated webpage: https://www.goldcoasthealthplan.org/for-providers/provider-resources/calaim-resources/. This website provides detailed information and resources about accessing and utilizing these valuable services within Ventura County and through Gold Coast Health Plan.
