Community Supports (CS) are services or settings that Managed Care Plans (MCPs) may offer in place of services or settings covered under the California Medicaid State Plan and that are a medically appropriate, cost effective alternative to a State Plan Covered Service. CS services are optional for MCPs to offer and for members to utilize. MCPs may not require members to use a CS instead of a service or setting listed in the Medicaid State Plan.
Gold Coast Health Plan (GCHP) offers the following CS services to eligible members:
- Asthma Remediation
- Community Transition Services / Nursing Facility Transition to a Home
- Environmental Accessibility Adaptations (EAAs, also known as Home Modifications)
- Housing Deposits
- Housing Tenancy and Sustaining Services
- Housing Transition Navigation
- Medically Supportive Food
- Nursing Facility Transition to / Diversion from Assisted Living Facilities
- Personal Homemaker Services
- Recuperative Care
- Respite Care
- Short-Term Post-Hospitalization Housing
As of July 1, 2024 referrals for Medically Supportive Foods and Respite Care / Personal Homemaker Services are no longer processed through the County of Ventura. These referrals are now processed through the GCHP CalAIM Team. Please fill out the necessary referral form(s) below as completely as possible to refer members. The completed authorization form should be faxed to 1.855.883.1552.
As of September 2024, Community Transition Services, Nursing Facility Transition to a Home Service, Nursing Facility Transition / Diversion to Assisted Living Facilities, and Environmental Accessibility Adaptations (including emergency response systems) will also be processed though the GCHP CalAIM Team, and no longer through the County of Ventura / Whole Person Care. The same community supports referral form should be completed and submitted to the GCHP CalAIM Team.
Providers may always send referrals directly to the GCHP CalAIM team via email at calaim@goldchp.org or fax at 1.855.883.1552.
CS Member Referral Forms
To refer a member for CS, please fill out the appropriate CS Referral Form:
- CS Referral Form - English
- CS Referral Form - Spanish
- Asthma Remediation Member Referral Form
- Medically Tailored Meals Referral (Redirects to VCCIE's site)
CS Member Authorization Forms
To refer a member for CS, please fill out the appropriate authorization request form:
- Environmental Accessibility Adaptation (EAA, or Home Modification) or Personal Emergency Response Systems (PERS) Authorization Request Form
- Housing Suite Authorization Request Form
- Medically Supportive Food Authorization Request Form
- Recuperative Care Authorization Request Form
- Respite Care / Personal Homemaker Services Authorization Request Form
Becoming a CS Provider
This CS Provider Certification Application is intended to ensure the CS provider provides satisfactory evidence of meeting the CS requirements as outlined by DHCS and GCHP to be certified as a CS provider.
Please complete the CS Provider Certification Application and submit it to calaimpr@goldchp.org with the subject line “CS Provider Application.” If you have any questions or concerns as you are completing the application, please contact calaimpr@goldchp.org.
Please submit member referral or authorization requests to calaim@goldchp.org.
CS Provider Certification Applications - English
- Asthma Remediation
- Community Transition Services
- Environmental Accessibility / Home Modifications
- Housing Deposits
- Housing Tenancy and Sustaining Services
- Housing Transition Navigation Services
- Medically Supportive Foods
- Nursing Facility Transition
- Personal Care and Homemaker Services
- Recuperative Care
- Respite Services
- Short-Term Post-Hospitalization Housing
CS Provider Certification Applications - Spanish
- Asthma Remediation
- Community Transition Services
- Environmental Accessibility Adaptations / Home Modifications
- Housing Deposits
- Housing Tenancy and Sustaining Services
- Housing Transition Navigation Services
- Medically Supportive Foods
- Nursing Facility Transition
- Personal Care and Homemaker Services
- Recuperative Care
- Respite Services
- Short-Term Post-Hospitalization Housing