CalAIM Santa Clara offers enhanced care management. Individuals will be assigned a lead Care Manager who will help coordinate transition out of a skilled nursing facility into a home-like environment. The Care Manager will assist with finding and applying for housing, finding doctors and scheduling appointments, understanding prescription drug medications, getting follow-up services after hospital discharge, setting up transportation, finding and applying for food, and connecting the individual to other community programs and services.
This program began as a pilot through Whole Person Care and then transitioned into CalAIM Santa Clara in 2022. Medi-Cal delivery changed to an Enhanced Care Management model with offerings for community supports in order to prioritize whole person care and healthy living.