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Community Supports are medically appropriate and cost-effective alternative services or settings compared to those included in the Medi-Cal State Plan. Federal regulations permit states to provide Community Supports as an option for Medicaid managed care o...

Housing Transition Navigation Services - Housing Deposits - Housing Tenancy and Sustaining Services - Short-Term Post-Hospitalization Housing - Recuperative Care (Medical Respite) - Respite Services - Day Habilitation Programs - Nursing Facili...

These supports aim to prevent or replace hospital or nursing facility admissions, discharge delays, and emergency department visits when provided to eligible Members.

Managed Care Plans (MCPs) must assess eligibility for pre-approved Community Supports based on the DHCS Community Supports service definitions, which outline specific eligibility criteria for each support. MCPs also need to confirm that a Community Support...

Yes, MCPs can request DHCS to review and approve the provision of Community Supports not included on the pre-approved list. With DHCS approval, MCPs may add or remove Community Supports at specified intervals: every six (6) months for additions and annuall...

There are no formal requirements for the ECM Provider or MCP to document an individual’s consent prior to starting services. An individual has the right to decline or stop Community Supports at any time.