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CalAIM San Mateo

This program launched in 2014 as the Community Care Setting Pilot, then transitioned into CalAIM San Mateo in 2022. MediCal delivery changed to an Enhanced Care Management model with community supports in order to prioritize whole person care and promote healthy living.

  • Care Managers
  • Occupational Therapist
  • RN
  • Program support staff
  • Supervisors and Senior Manager

Support in

  • Finding doctors and getting appointments
  • Understanding prescriptions and medications
  • Follow-up services after you leave the hospital
  • Setting up transportation
  • Finding and applying for food and housing
  • Connecting to other community programs and services
  • Housing navigation
  • Housing deposits
  • Coordinating transition out of a skilled nursing facility into a home-like environment
  • Skilled nursing admissions prevention
  • Securing meals to meet nutrition goals

Eligibility Requirements

  • Be a Health Plan of San Mateo member
  • Have multiple chronic or mental health conditions
  • Have visited an ER or hospital multiple times in the last 6 months
  • Willing to move to a home from a nursing facility
  • Are in need of a safe place to live

Counties Served

San Mateo County

HPSM Prior Authorization

Complete the HPSM Prior Authorization form and fax to 650.829.2079.
Complete Form

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