Community Supports

What are Community Supports?

Community Supports are extra services that Blue Shield Promise offers to eligible Medi-Cal members. They are not benefits. These services provide support to members beyond Long Term Care Support Services (LTSS). They enhance and support members’ care. Services will vary based on a member’s needs and on Blue Shield Promise Health Plan’s rules. Prior authorization is required.

Blue Shield Promise Health Plan offers Community Supports to qualified members in Los Angeles and San Diego counties:

Community Supports member focus

Asthma remediation
Find a provider in: 
• Los Angeles
• San Diego

Physical changes to an individual’s home environment that ensure health, welfare, and safety, or enable functioning at home if acute asthma episodes may result in hospitalization or seeking emergency services.
Community transition services/Nursing facility transition to a home
Find a provider in:
• 
Los Angeles
• San Diego
This helps members to live in the community and avoid further institutionalization.
Day habilitation programs
Find a provider in:
• 
Los Angeles
• San Diego
This helps Medi-Cal members in a non-facility setting to develop self-help, socialization, and adaptive skills necessary to succeed in their home environments.
Environmental accessibility adaptations (Home modifications)
Los Angeles and San Diego:

Pathway Home Solutions Inc.
2 Birch Ct.
Orinda, CA 94563
(209) 601-0734 tel
(916) 449-2294 fax
Physical adaptations to a home to ensure the health, welfare, and safety of the individual and allow members who would otherwise require institutionalization to stay in their homes.
Housing deposits
Find a provider in:
• 
Los Angeles
• San Diego
Members receive help finding, coordinating, securing, or funding one-time services needed to set up a basic household.
Housing transition navigation services
Find a provider in:  
• Los Angeles
• San Diego
Members receive help obtaining housing.
Housing tenancy and sustaining services
Find a provider in:
• Los Angeles
• San Diego
Members get help maintaining safe and stable tenancy after finding housing.
Medically tailored meals/Medically-supportive food
Find a provider in:
• 
Los Angeles
• San Diego
Nutritional support for members, especially those with chronic conditions, when meeting nutritional goals is critical to getting healthy and staying healthy.
Nursing facility transition/Diversion to assisted living facilities
Find a provider in:
• 
Los Angeles
• San Diego
This helps members to live in the community or avoid institutionalization when possible.
Personal care and homemaker services
Find a provider in:
• 
Los Angeles
• San Diego
Members receive help with Activities of Daily Living (ADLs) such as bathing, dressing, toileting, ambulation, or feeding, and Personal Care Services like meal preparation, grocery shopping, and money management for Members who could not otherwise remain in their homes without these supports.
Recuperative care (Medical respite)
Find a provider in:
• 
Los Angeles
• San Diego
Short-term residential care for those who no longer require hospitalization, but still need to heal from an injury or illness, including a mental health condition that might worsen in an unstable living environment.
Respite services for caregivers of Medi-Cal members
Find a provider in:
• 
Los Angeles
• San Diego
Short-term, non-medical relief from caregiving duties for those who take care of Medi-Cal members who require intermittent temporary supervision.
Short-term post-hospitalization housing
Find a provider in:
• 
Los Angeles
• San Diego
A place for members with high medical or behavioral needs who do not have a residence to continue recovering immediately after exiting an inpatient hospital or residential facility.
Sobering centers
Find a provider in:
• 
Los Angeles
• San Diego
Safe, supportive places for individuals to become sober after being found publicly intoxicated due to alcohol or drugs and help for individuals experiencing homelessness or unstable living situations who would otherwise be sent to the emergency department or jail.

Information for members

To find out if you’re eligible for Community Supports, call Blue Shield Promise Customer Care. They are available in your region on weekdays between 8 a.m. and 6 p.m.:

 Los Angeles: (800) 605-2556

 San Diego: (855) 699-5557

 Call Health Care Options (HCO) at (800) 430-4263 [TTY: (800) 430-7077]

For Providers, visit the Provider Connection Portal.

Extra services Blue Shield Promise offers

Enhanced Care Management are services that are offered to eligible Medi-Cal members. Find out how to refer eligible members.

Last updated: 07/07/2023
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Health Care Options: (844) 580-7272  {TTY: {800) 430-7077}, Monday through Friday from 8 a.m. — 6 p.m. 

For information on Blue Shield Promise plans for your health care, call the Department of Health Care Services at (800) 430-4263 {TTY: (800) 735-2922}, or visit https://www.healthcareoptions.dhcs.ca.gov/.

Blue Shield of California Promise Health Plan is a managed care organization, wholly owned by Blue Shield of California, offering Medi-Cal Plans.

© 2002-2024. California Physicians’ Service DBA Blue Shield of California Promise Health Plan. All rights reserved.

California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association.

The provider network may change at any time. You will receive notice when necessary.

Blue Shield of California Promise Health Plan complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.

Blue Shield of California Promise Health Plan cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascedencial, religión, sexo, estado civil, genero, identidad de genero, orientación sexual, edad ni discapacidad.

Blue Shield of California Promise Health Plan遵循適用的州法律和聯邦公民權利法律,並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻 狀況、性別認同、性取向、年齡或殘障為由而進行歧視。

 

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Long Beach, CA  90806

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