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Overview

Program Overview

TPF’s CalAIM Community Care program delivers Enhanced Care Management and Community Supports to eligible Medi-Cal members across Los Angeles, in partnership with Managed Care Plans.

Support

Who It's For

Medi-Cal beneficiaries with complex medical and social needs, including people experiencing homelessness or housing instability, and those needing coordinated, whole-person care.

Two ways we can help

Choose the support that fits your situation.

Both are open to Medi-Cal members. Not sure which one is yours? Send us the form below and our team will help you sort it out.
Full care team

Enhanced Care Management

ECM IS A GOOD FIT IF YOU:
  • Manage complex physical, behavioral health, or social needs
  • Visit the hospital or ER often, or are at risk of it
  • Are experiencing homelessness or housing instability
  • Live with a severe mental illness or substance use disorder
  • Are leaving a hospital or other facility, or managing chronic conditions

What you need: Medi-Cal, and a need for extra help with housing, food, or community services.

I'm interested in ECM
Standalone benefit

Community Health Worker support

THIS FITS IF YOU:

  • Need help finding your way through the healthcare system
  • Want education and an advocate for managing a chronic condition
  • Are working to secure stable housing or connect with community resources

What you need: Medi-Cal, and help with care navigation or social services.

I'm interested in CHW support

How to Access the Program

Access is through Managed Care Plan referral, a healthcare partner, or direct contact with TPF to confirm eligibility. See the full Community Care page for services and eligibility detail.
CalAIM interest form

Tell us you're interested.

Answer a few quick questions and a member of our care team will reach out. You can also fill this out for someone else.

What happens after you send it

  • A care team member contacts you by the method you choose.
  • We talk through your needs and confirm whether ECM or the Community Health Worker benefit fits.
  • If it does, we match you with your care team and set up your first visit.

Are you interested in ECM or CHW support?

It only takes a minute. Required fields are marked with *.
That’s okay. If you need support in the future, you’re always welcome to reach out.
What your team does

Real help with the things that get in the way of good health.

Care coordination

One point of contact who keeps your doctors, specialists, and services on the same page.

Health system navigation

Someone beside you to book visits, understand next steps, and speak up for your needs.

Food & community resources

Links to the local programs that support your day-to-day life.

Housing support

Help finding, applying for, and keeping stable housing.

Behavioral health connections

Warm introductions to mental health and substance use care that fits you.

Transitions of care

Extra support when you leave a hospital or facility, so you don’t land back in the ER.
How it works

Getting started takes about two minutes.

Tell us you're interested

Fill out the short form below with your contact details.

Talk with our team

We learn about your needs and confirm what you qualify for.

Meet your care team

Your Community Health Worker and Lead Care Manager build a plan with you.

Contact us
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