Sometimes it just takes a little support for independence to become real.

07 CM Case Management 3 Years CMYK

The Community Care Settings Program (CCSP) assists Health Plan of San Mateo County members to transition out of nursing facilities and back to living independently in the community. CCSP also provides services to individuals living in the community, or those who are in acute care settings, that are at imminent risk of institutionalization. CCSP staff work to ensure that individuals are connected to all available community resources, stable housing, and appropriate healthcare services to support their ability to live at home safely.

CCSP is funded by the Health Plan of San Mateo. Please call 415.750.4111 for questions regarding eligibility criteria or to make a referral.

Three-Pronged Program Approach

  1. Coordinated Case Management – CCSP connects clients to community services such as transportation, meals, personal care, housing assistance, etc.
  2. Purchase of Services – CCSP provides the needed resources and services, not available through any other mechanism, to Health Plan of San Mateo members. CCSP is considered the payer of last resort.
  3. Housing Retention and Placement – CCSP identifies, secures, and maintains appropriate community based housing.

Groups Served

  • Individuals living in long term care facilities who are willing and able to return to living in the community with additional supports and services
  • Individuals in acute care hospitals or short term rehab settings being recommended for long term placement, but are willing and able to live in the community
  • Individuals in the community determined to be at imminent risk of institutionalization, who are willing and able to remain living in the community

Eligibility Criteria

  • Be 18 years and older
  • Be a Health Plan of San Mateo Member
  • Be willing and able to live in the community with appropriate supports
  • Have demonstrated a need for a service and/or resource that will serve to prevent institutionalization or enable community living
  • Assistance needed with at least 2 activities of daily living (ADLs) or 3 instrumental activities of daily living (IADLs)
  • Medical conditions must be able to be managed in the community


Phone: 415.750.4111

To make a referral right now, please fill out the Community Care Settings Program Intake Form.

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Simply call Institute on Aging Connect at 415.750.4111 or 650.424.1411. Our dedicated Client Service Specialists are ready to help.