The Whole Person Care Program, also known as CalAIM (California Advancing and Innovating Medi-Cal), represents a significant, long-term initiative to transform and strengthen Medi-Cal. This program is dedicated to creating a more equitable, coordinated, and person-centered healthcare experience, ultimately empowering individuals to achieve optimal health and well-being. CalAIM aims to move beyond traditional healthcare models by addressing the diverse needs of individuals through integrated and comprehensive support.
Who Can Benefit from the Whole Person Care Program?
Eligibility for the Whole Person Care Program is designed to support those Medi-Cal members facing significant life challenges that impact their health. Gold Coast Health Plan members experiencing situations such as:
- Homelessness: Individuals without stable housing are a primary focus, as housing instability profoundly affects health.
- Serious Mental Health or Substance Use Disorders: Those struggling with mental health conditions or substance use are prioritized for comprehensive care.
- Frequent Emergency Room or Hospital Visits: Individuals who repeatedly use emergency services may benefit from coordinated care to manage their health proactively.
- Recent Incarceration: Transitioning back into the community after incarceration can be challenging, and this program offers support during this critical period.
If you or someone you know is facing these circumstances, you are encouraged to explore a referral to the Whole Person Care Program.
How to Access Whole Person Care Services: Requesting a Referral
Getting a referral to the Whole Person Care Program is straightforward. You have multiple options to initiate the process:
- Consult Your Doctor: Your primary care physician is an excellent starting point. Discuss your situation and ask for a referral to the program.
- Reach Out to Family or Friends: A trusted family member or friend can also assist you in requesting a referral or contacting the program on your behalf.
- Self-Referral: You can directly self-refer to the Whole Person Care Program to inquire about eligibility and services.
To learn more or request a referral, please contact:
Call: 805.339.1122
Email: [email protected]
Enhanced Care Management and Community Support Services
The Whole Person Care Program through Gold Coast Health Plan provides access to Enhanced Care Management (ECM) and Community Supports. ECM offers intensive, individualized care coordination to help members navigate the healthcare system and manage complex health needs. Community Supports address social determinants of health, providing assistance with essential services like housing and food, which are crucial for overall well-being. These services are designed to work together, offering a holistic approach to care.
For in-depth information regarding Gold Coast Health Plan’s implementation of Enhanced Care Management and Community Support services under the Whole Person Care Program, please visit the GCHP CalAIM webpage: https://www.goldcoasthealthplan.org/for-providers/provider-resources/calaim-resources/
To further explore the transformative vision of the CalAIM initiative and its impact on Medi-Cal, please visit the official resources available online. The Whole Person Care Program is committed to building a healthier and more supported community in Ventura County.
