Because Health Starts Beyond the Clinic
Care doesn’t end at discharge—it’s shaped by what happens at home, in the community, and in everyday life. Our Community Support services tackle the root causes of poor health by connecting individuals to essential resources like housing, food, and transportation. By stabilizing the factors that drive utilization, we help you improve outcomes, reduce costs, and deliver truly holistic care. Unlock the missing piece of your care model—learn more today.
CalAIM Community Supports help members stay healthier by addressing real-life needs like housing, meals, and personal care. By removing everyday barriers, these services reduce hospital visits, improve well-being, and support greater independence—delivering true whole-person care.
Challenges We Solve
- Housing insecurity
- Food insecurity
- Lack of transportation
- Difficulty accessing community services
- Social needs driving poor health outcomes
How It Works
- Screen for social needs
- Prioritize barriers affecting care
- Connect to community resources
- Coordinate support delivery
- Track progress and re-engage as needed
Core Features
- Social needs assessments
- Resource navigation
- Housing and food support coordination
- Transportation linkage
- Community-based referrals
- Follow-through and engagement tracking
Outcomes & Benefits
- Greater care plan adherence
- Improved stability for at-risk individuals
- Reduced avoidable utilization
- Better quality of life
- Stronger community-health integration
Advancing Healthier Communities
Our mission is to advance healthier communities by delivering coordinated care management, behavioral health services, and community-driven support systems that address the full spectrum of medical, behavioral, and social needs. Through collaboration with healthcare providers, community organizations, and trusted community health workers, we connect individuals to the resources, services, and support necessary to improve health outcomes, promote stability, and empower members to live healthier, more independent lives.
Removing Barriers to Care
Our purpose is to remove barriers to care by aligning healthcare providers, social service organizations, and trusted community partners to deliver coordinated, person-centered support. By integrating medical care, behavioral health services, and community-based resources, we address the social and environmental factors that influence health and well-being. Through collaboration, culturally responsive engagement, and community health worker outreach, we ensure individuals can access the services, guidance, and support they need to navigate complex systems, stabilize their lives, and achieve improved health outcomes.
Our Health Plan Partners
Trusted MCP partnerships advancing care for vulnerable populations.
