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1on-medical needs. We work alongside health plans, physicians, hospitals, and community organizations to help individuals overcome barriers to health while improving their overall quality of life. 2 3Our multidisciplinary team coordinates care, connects members to essential resources, and provides ongoing support to help them achieve better health outcomes. Rather than focusing solely on treating illness, we address the social, behavioral, and environmental factors that influence long-term health and well-being.`},{q:"What services do you provide?",a:`Pacific Health Group offers a comprehensive range of CalAIM and community-based healthcare services designed to support individuals with complex medical, behavioral, and social needs. 4 5Our services include: 6⢠Enhanced Care Management (ECM) â Personalized care coordination for members with complex health needs. 7⢠Community Supports (CS) â Assistance accessing housing, nutrition, transportation, recuperative care, home modifications, and other approved services. 8⢠Behavioral Health Services â Mental health screenings, care coordination, therapy referrals, and behavioral health support. 9⢠Community Health Worker (CHW) Services â Community-based support, health education, advocacy, benefit navigation, and resource connections. 10⢠Street Medicine & Community Outreach â Bringing healthcare and supportive services directly to individuals experiencing homelessness or other barriers to accessing care. 11⢠Care Coordination â Collaboration between providers, hospitals, specialists, caregivers, and community organizations. 12⢠Resource Navigation â Assistance connecting members with community programs, food resources, financial assistance, transportation, and social services. 13 14Our goal is to provide whole-person care by addressing medical, behavioral, and social determinants of health.`},{q:"Who do you serve?",a:`Pacific Health Group primarily serves California Medi-Cal members who may benefit from additional care coordination and supportive services. 15 16We work with individuals experiencing: 17⢠Chronic or complex medical conditions 18⢠Behavioral or mental health challenges 19⢠Housing insecurity or homelessness 20⢠Frequent emergency room visits or hospitalizations 21⢠Multiple healthcare providers requiring coordination 22⢠Limited access to transportation 23⢠Food insecurity 24⢠Social isolation 25⢠Disabilities 26⢠Justice system involvement 27⢠High-risk pregnancies and postpartum needs 28⢠Children and youth with complex healthcare needs 29⢠Older adults requiring additional support 30 31We also support family members, caregivers, healthcare providers, hospitals, health plans, and community-based organizations working together to improve member outcomes.`},{q:"What areas of California do you cover?",a:`Pacific Health Group proudly serves communities throughout California by partnering with Managed Care Plans (MCPs), healthcare providers, hospitals, and community organizations. 32 33Our service areas continue to expand as new partnerships are established. Coverage varies depen
33ding on the specific health plan, county, and service being provided. 34 35If you're unsure whether services are available in your area, our team is happy to verify eligibility and service availability. Contact us today to determine whether we currently serve your county or health plan.`},{q:"What languages do you support?",a:`We are committed to providing culturally responsive and linguistically appropriate care for every member. 36 37Our team supports multiple languages through bilingual staff members and professional interpreter services to ensure effective communication throughout your healthcare journey. 38 39If your preferred language is not immediately available, we will arrange qualified interpretation services at no cost to you. Please let our team know your preferred language when contacting us or enrolling in services.`},{q:"How do I contact your team?",a:`There are several convenient ways to connect with Pacific Health Group. You can: 40⢠Call our office during normal business hours. 41⢠Complete the Contact Us form on our website. 42⢠Submit a referral through our online referral portal. 43⢠Speak with one of our representatives through our website's live chat feature. 44⢠Ask your healthcare provider, hospital, or health plan to submit a referral on your behalf. 45 46Whether you are a member, caregiver, healthcare provider, or community partner, our team is here to answer questions and help you access the services you need.`},{q:"What are your office hours?",a:`Our administrative offices are open during standard business hours: 47 48Monday â Friday 498:00 AM â 5:00 PM (Pacific Time) 50 51Business hours may vary on holidays. Our care teams work closely with members throughout the week to coordinate services, schedule appointments, and provide ongoing support.`},{q:"Is someone available after hours?",a:`Yes. While our administrative offices operate during normal business hours, Pacific Health Group understands that healthcare needs don't always occur on a schedule. 52 53Members currently enrolled in our programs may have access to after-hours support based on their care plan and the services they receive. 54 55If you are experiencing a medical emergency, call 911 or go to the nearest emergency room immediately. For non-emergency concerns after business hours, you may leave a voicemail or submit an online request, and a member of our team will respond as soon as possible on the next business day.`}]},{title:"Eligibility & Enrollment",faqs:[{q:"Who qualifies for your services?",a:`Eligibility depends on your Medi-Cal Managed Care Plan, your medical and social needs, and the specific CalAIM program you may qualify for. Many of our services are designed for individuals who would benefit from additional care coordination due to complex health conditions or significant life challenges. 56 57You may be eligible if you are experiencing: 58⢠Multiple chronic medical conditions 59⢠Serious mental health or behavioral health needs 60⢠Frequent emergency room visits or hospitalizations 61⢠Homelessness or housing instability 62⢠Food insecurity or lack of reliable transportation 63⢠Difficulty managing multiple healthcare providers 64⢠Disabilities or functional limitations 65⢠Justice system involvement 66⢠High-risk pregnancy or postpartum needs 67⢠Other complex medical, behavioral, or social needs identified by your health plan 68 69Our team can help determine your eligibility and guide you through the enrollment process.`},{q:"How do I know if I'm eligible?",a:`The easiest way to determine your eligibility is to contact Pacific Health Group or speak with your Medi-Cal Managed Care Plan. 70 71Our enrollment specialists will: 72⢠Review your current health coverage 73⢠Verify your health plan eligibility 74⢠Assess your healthcare and support needs 75⢠Determine which services you may qualify for 76⢠Explain your available options 77 78There is no obligation to enroll, and we'll answer any questions you have before moving forward.`},{q:"Do I need Medi-Cal?",a:`Most of the services we provide through CalAIMâincluding Enhanced Care Management (ECM) and Community Supp
78orts (CS)âare available to eligible Medi-Cal members enrolled in participating Managed Care Plans. 79 80Eligibility requirements vary depending on your health plan and the specific program. If you're unsure about your coverage, our team can verify your benefits and help determine which services may be available to you.`},{q:"Can I enroll myself?",a:`Yes. If you believe you may qualify, you can contact Pacific Health Group directly to begin the enrollment process. 81 82Our team will guide you through each step, verify your eligibility, explain available services, and answer any questions before enrollment is completed. Enrollment is voluntary, and you may choose whether to participate.`},{q:"Can a family member enroll me?",a:`Yes. Family members, caregivers, legal guardians, or authorized representatives are welcome to contact us on your behalf. 83 84Depending on your situation and applicable privacy regulations, we may need your consent or legal authorization before completing enrollment or discussing your healthcare information. Our team will explain any required documentation during the process.`},{q:"Can my doctor refer me?",a:`Absolutely. Healthcare providers frequently refer patients to Pacific Health Group for additional care coordination and supportive services. 85 86Referrals may come from: 87⢠Primary Care Providers (PCPs) 88⢠Specialists 89⢠Hospitals 90⢠Emergency Departments 91⢠Skilled Nursing Facilities 92⢠Behavioral Health Providers 93⢠Community Clinics 94⢠Federally Qualified Health Centers (FQHCs) 95⢠Health Plans 96⢠Community-Based Organizations (CBOs) 97 98Our team works closely with referring providers to ensure a smooth transition into services.`},{q:"How long does enrollment take?",a:`Enrollment timelines vary depending on your health plan, eligibility verification, and the specific services being requested. 99 100In many cases, our team can begin the intake process shortly after receiving a referral or direct inquiry. Once eligibility is confirmed, we work to connect members with the appropriate services as quickly as possible. Our goal is to make enrollment simple, timely, and stress-free.`},{q:"What information is needed during enrollment?",a:`To help determine eligibility and coordinate your care, we may ask for: 101⢠Your name and date of birth 102⢠Contact information 103⢠Medi-Cal or health insurance information 104⢠Primary Care Provider (if applicable) 105⢠Emergency contact information 106⢠Current medical conditions 107⢠Current medications 108⢠Behavioral health needs 109⢠Housing situation 110⢠Transportation needs 111⢠Food or nutrition concerns 112⢠Other social or healthcare needs that may affect your well-being 113 114This information helps us develop a personalized care plan based on your unique circumstances.`},{q:"Can I receive more than one service?",a:`Yes. Many members receive multiple services at the same time based on their individual needs. 115 116For example, a member may receive: 117⢠Enhanced Care Management 118⢠Community Supports 119⢠Behavioral Health services 120⢠Community Health Worker support 121 122Our interdisciplinary team works together to coordinate services so you receive comprehensive, whole-person care without having to navigate the healthcare system alone.`},{q:"What happens after I enroll?",a:`Once you're enrolled, you'll be connected with the appropriate care team based on your needs and eligible services. 123 124Your care journey typically includes: 1251. A comprehensive assessment of your medical, behavioral, and social needs. 1262. Assignment to the appropriate care team, such as a Lead Care Manager or Community Health Worker. 1273. Development of a personalized care plan with goals tailored to your situation. 1284. Coordination with your doctors, specialists, health plan, caregivers, and community partners. 1295. Ongoing support, regular check-ins, and assistance accessing healthcare and community resources. 130 131Our goal is to help you improve your health, remove barriers to care, and provide the support you need to live as independently and safely as possible.`}]},{title:"Enhanced Care Management (ECM)",faqs:[{q:"What is Enhanced Care Management (ECM)?",a:`Enhanced Care Management (ECM) is a CalAIM benefit that provides comprehensive, person-centered care coordination for eligible Medi-Cal members with complex medical, behavioral, or social needs. 132 133Unlike traditional case management, ECM focuses on the whole personânot just their medical condition. Your Lead Care Manager works closely with your healthcare providers, health plan, family, caregivers, and community organizations to ensure your care is coordinated and your needs are addressed. 134 135ECM is designed to improve health outcomes, reduce unnecessary emergency room visits and hospital
135izations, and help members navigate the healthcare system with confidence.`},{q:"Who qualifies for ECM?",a:`Eligibility is determined by your Medi-Cal Managed Care Plan and whether you meet one or more of the CalAIM Populations of Focus. 136 137Individuals who may qualify include those who: 138⢠Are experiencing homelessness or housing instability 139⢠Have multiple chronic medical conditions 140⢠Have serious mental illness or substance use disorders 141⢠Frequently visit the emergency room or have repeated hospitalizations 142⢠Are transitioning from hospitals or nursing facilities back into the community 143⢠Are at risk of institutionalization 144⢠Are justice-involved and transitioning back into the community 145⢠Are pregnant or postpartum with high-risk medical or social needs 146⢠Are children or youth with complex healthcare needs 147⢠Require extensive coordination across multiple healthcare providers 148 149If you're unsure whether you qualify, our team can verify your eligibility and work with your health plan to determine available benefits.`},{q:"Is ECM free?",a:"Yes. Enhanced Care Management is a covered CalAIM benefit for eligible Medi-Cal members enrolled in participating Managed Care Plans. There is no additional cost to eligible members for ECM services. Coverage is determined by your health plan and eligibility criteria."},{q:"What does a Lead Care Manager do?",a:`Your Lead Care Manager (LCM) serves as your primary point of contact and healthcare advocate throughout your care journey. 150 151Your LCM may help you: 152⢠Coordinate appointments with healthcare providers 153⢠Develop a personalized care plan 154⢠Connect with specialists and community resources 155⢠Schedule medical appointments 156⢠Assist with medication coordination 157⢠Navigate healthcare benefits 158⢠Address housing, transportation, and food needs 159⢠Coordinate behavioral health services 160⢠Communicate with hospitals and healthcare providers 161⢠Support transitions after hospital discharge 162⢠Help you achieve your personal health goals 163 164Your Lead Care Manager works alongside you to ensure your care remains organized, coordinated, and centered around your individual needs.`},{q:"How often will my Care Manager contact me?",a:`The frequency of contact depends on your individual needs and care plan. Some members require frequent communication, while others may only need periodic check-ins. 165 166Your Lead Care Manager will maintain regular contact to: 167⢠Monitor your progress 168⢠Coordinate healthcare services 169⢠Address new challenges 170⢠Update your care plan as needed 171⢠Ensure you remain connected to the appropriate resources 172 173Your level of support may increase or decrease over time based on your health and personal circumstances.`},{q:"Can my Care Manager attend appointments with me?",a:`Yes, when appropriate. Your Lead Care Manager may accompany you to certain healthcare appointments when additional support or care coordination would be beneficial. 174 175They can help: 176⢠Explain treatment plans 177⢠Ask questions on your behalf 178⢠Coordinate follow-up care 179⢠Ensure providers have important information 180⢠Advocate for your healthcare needs 181⢠Help you better understand your care options 182 183Attendance depends on your needs, the type of appointment, and available resources.`},{q:"Can ECM help me find a primary care doctor?",a:`Absolutely. If you do not currently have a Primary Care Provider (PCP), or you need assistance changing providers, your Lead Care Manager can help you: 184⢠Find an in-network provider 185⢠Schedule your first appointment 186⢠Transfer medical records 187⢠Coordinate communication with your healthcare team 188⢠Establish ongoing primary care 189 190Having a trusted primary care provider is an important part of maintaining your overall health.`},{q:"Can ECM help coordinate specialists?",a:`Yes. One of ECM's primary goals is ensuring communication among all members of your healthcare team. 191 192Your Lead Care Manager can coordinate with: 193⢠Primary Care Providers 194⢠Medical Specialists 195⢠Behavioral Health Providers 196⢠Hospitals 197⢠Skilled Nursing Facilities 198⢠Pharmacies 199⢠Community-Based Organizations 200⢠Home Health Providers 201⢠Community Health Workers 202⢠Other healthcare professionals involved in your care 203 204This coordinated approach helps reduce gaps in care and ensures everyone is working toward the same health goals.`},{q:"Can ECM help after a hospital stay?",a:`Yes. Hospital transitions are one of the most important times for coordinated care. 205 206Your Lead Care Manager can assist with:
207⢠Scheduling follow-up appointments 208⢠Reviewing discharge instructions 209⢠Coordinating medications 210⢠Connecting you with Community Supports 211⢠Arranging transportation 212⢠Communicating with your physicians 213⢠Helping prevent avoidable readmissions 214⢠Addressing barriers that could interfere with your recovery 215 216Our goal is to help you recover safely and successfully after leaving the hospital.`},{q:"How long can I stay enrolled?",a:`The length of your enrollment depends on your ongoing eligibility, your health plan, and your individual care needs. 217 218As long as you continue to meet the eligibility requirements and benefit from Enhanced Care Management, you may remain enrolled. Your care team will periodically review your progress and work with your Managed Care Plan to determine whether ECM continues to be appropriate. If your needs change, we'll help ensure a smooth transition to other services or community resources so you continue receiving the support you need.`}]},{title:"Community Supports (CS)",faqs:[{q:"What are Community Supports?",a:`Community Supports (CS) are optional CalAIM services that help eligible Medi-Cal members address social and environmental factors that impact their health. These services are designed to complement medical care by providing practical assistance that helps individuals live safely, remain independent, and avoid unnecessary hospitalizations or institutional care. 219 220Community Supports focus on improving overall well-being by addressing needs such as housing, nutrition, transportation, personal care, and recovery support.`},{q:"Who qualifies for Community Supports?",a:`Eligibility for Community Supports is determined by your Medi-Cal Managed Care Plan based on your health needs, living situation, and the specific Community Support being requested. 221 222You may qualify if you: 223⢠Are experiencing homelessness or housing instability 224⢠Have complex medical or behavioral health needs 225⢠Frequently use emergency departments or require hospital care 226⢠Need assistance remaining safely in your home 227⢠Are transitioning from a hospital, nursing facility, or other institution 228⢠Require support to recover after a hospitalization 229⢠Have functional limitations that affect daily living 230⢠Meet other health plan-specific eligibility requirements 231 232Our team can help determine which Community Supports may be available to you.`},{q:"What Community Supports are available?",a:`The specific Community Supports available vary by Managed Care Plan, but may include: 233⢠Housing Transition Navigation Services 234⢠Housing Deposits 235⢠Housing Tenancy and Sustaining Services 236⢠Recuperative Care (Medical Respite) 237⢠Short-Term Post-Hospitalization Housing 238⢠Day Habilitation Programs 239⢠Respite Services 240⢠Nursing Facility Transition/Diversion Services 241⢠Personal Care and Homemaker Services 242⢠Environmental Accessibility Adaptations (Home Modifications) 243⢠Medically Supportive Food and Meals 244⢠Sobering Centers 245⢠Asthma Remediation 246⢠Community Transition Services 247⢠Home-Based Services 248⢠Other approved CalAIM Community Supports 249 250Availability depends on your health plan and county.`},{q:"Can Community Supports help with housing?",a:`Yes. Housing-related Community Supports are designed to help eligible members obtain and maintain stable housing. 251 252Depending on your eligibility and health plan, services may include: 253⢠Assistance finding permanent housing 254⢠Housing application support 255⢠Landlord communication 256⢠Housing navigation 257⢠Move-in coordination 258⢠Housing deposits
259⢠Ongoing tenancy support 260⢠Eviction prevention assistance 261⢠Connections to community housing resources 262 263While Community Supports do not typically provide long-term rental assistance, they can help members access housing programs and resources that promote long-term housing stability.`},{q:"Can I receive meals?",a:`Yes, if you qualify. Some eligible members may receive medically supportive meals or nutrition services as part of their Community Supports benefits. 264 265These services may be available for individuals who: 266⢠Have chronic medical conditions 267⢠Are recovering from hospitalization 268⢠Have medically necessary dietary needs 269⢠Experience food insecurity 270⢠Require nutritional support to improve health outcomes 271 272Eligibility and duration of meal services are determined by your Managed Care Plan.`},{q:"Can I receive transportation?",a:`Community Supports may include transportation-related assistance when it is medically appropriate and authorized by your health plan. 273 274Depending on your needs, transportation assistance may help you access: 275⢠Medical appointments 276⢠Healthcare services 277⢠Community resources 278⢠Other approved services related to your care plan 279 280Our team can help determine which transportation benefits are available through your health plan.`},{q:"Can Community Supports help me remain at home?",a:`Yes. One of the primary goals of Community Supports is helping members remain safely and independently in their homes whenever possible. 281 282Depending on your eligibility, services may include: 283⢠Personal care assistance 284⢠Homemaker services 285⢠Home safety modifications 286⢠Caregiver support 287⢠Meal assistance 288⢠Recovery support 289⢠Care coordination 290⢠Connections to community resources 291 292These services are intended to reduce the need for institutional care while improving quality of life.`},{q:"Who decides what services I receive?",a:`Community Supports are authorized by your Medi-Cal Managed Care Plan based on: 293⢠Your medical needs 294⢠Functional limitations 295⢠Social needs 296⢠Clinical assessments 297⢠Care recommendations 298⢠CalAIM eligibility requirements 299 300Your Pacific Health Group care team works closely with your health plan to identify appropriate services and advocate for the supports that best meet your individual needs.`},{q:"Are Community Supports permanent?",a:`Not necessarily. Community Supports are intended to address specific needs and may be provided for a limited period based on your health plan's authorization and your individual circumstances. 301 302Your care team will regularly review your progress and reassess your needs. If additional support is required, we will work with your health plan to determine whether services can continue or if other community resources may better meet your long-term needs. 303 304Our goal is to provide the right support at the right time to help you achieve greater independence, improve your health, and maintain the highest possible quality of life.`}]},{title:"Community Health Workers (CHW)",faqs:[{q:"What is a Community Health Worker (CHW)?",a:`A Community Health Worker (CHW) is a trusted member of the healthcare team who helps individuals navigate the healthcare system while addressing the everyday challenges that can affect their health and well-being. 305 306CHWs provide culturally responsive, community-based support by helping members access healthcare services, understand their care plans, connect with local resources, and overcome barriers to better health. 307 308They serve as advocates, educators, and trusted partners, helping members build confidence in managing their health while strengthening connections to their communities.`},{q:"Who qualifies for Community Health Worker services?",a:`Community Health Worker services are available to eligible Medi-Cal members who would benefit from additional support navigating healthcare and community resources. 309 310You may qualify if you: 311⢠Have difficulty accessing healthcare services 312⢠Need help managing a chronic health condition 313⢠Experience housing, food, or transportation challenges 314⢠Need assistance understanding your care plan 315⢠Frequently miss medical appointments 316⢠Require health education or coaching 317⢠Need help connecting with community resources 318⢠Have barriers related to language, culture, or health literacy 319⢠Would benefit from ongoing community-based support 320 321Eligibility is determined by your Medi-Cal Managed Care Plan and your individual needs.`},{q:"How can a Community Health Worker help me?",a:`Community Health Workers provide practical, personalized support to help improve your overall health and quality of life. 322 323Your CHW may assist with: 324⢠Understanding your health conditions and treatment plan 325⢠Health education and wellness coaching 326⢠Scheduling medical appointments 327⢠Connecting you with healthcare providers 328⢠Applying for community benefits and services 329⢠Accessing food, housing, and transportation resources 330⢠Coordinating with your care team 331⢠Navigating healthcare systems and insurance benefits 332⢠Providing encouragement and ongoing support 333⢠Helping you develop healthy habits and achieve personal health goals 334 335Every member's needs are different, and your CHW will tailor support to your unique circumstances.`},{q:"Can a CHW accompany me to appointments?",a:`Yes. When appropriate, a Community Health Worker may accompany you to medical appointments to provide additional support and help ensure your healthcare needs are fully understood. 336 337They may help by: 338⢠Preparing questions before your appointment 339⢠Helping you communicate with your healthcare provider 340⢠Explaining medical information in understandable terms 341⢠Taking notes during appointments 342⢠Assisting with follow-up scheduling 343⢠Coordinating next steps with your care team 344 345The availability of appointment accompaniment depends on your individual care plan and program resources.`},{q:"Will a CHW visit me at home?",a:`Yes, when appropriate. Community Health Workers often meet members where they are most comfortable, including at home or in other community settings. 346 347Home visits allow CHWs to: 348⢠Better understand your living environment 349⢠Identify barriers affecting your health 350⢠Provide health education 351⢠Assist with care planning 352⢠Connect you with community resources 353⢠Offer personalized support in a familiar setting 354 355Meeting locations are determined based on your needs, preferences, safety considerations, and your individualized care plan.`}
355,{q:"Can a CHW help me apply for benefits?",a:`Absolutely. Community Health Workers can assist you in understanding and accessing a variety of healthcare and community assistance programs. 356 357They may help with: 358⢠Medi-Cal questions 359⢠CalFresh (SNAP) applications 360⢠Housing resources 361⢠Transportation programs 362⢠Food assistance programs 363⢠Utility assistance 364⢠Community resource referrals 365⢠Local nonprofit services 366⢠Other public benefit programs for which you may qualify 367 368While CHWs may not determine eligibility or approve benefits, they can guide you through the application process and connect you with the appropriate agencies.`},{q:"Can a CHW help me connect with community resources?",a:`Yes. Connecting members with local resources is one of the primary responsibilities of a Community Health Worker. 369 370Depending on your needs, your CHW may connect you with: 371⢠Food banks and meal programs 372⢠Housing assistance 373⢠Homeless services 374⢠Transportation resources 375⢠Employment and vocational programs 376⢠Financial assistance programs 377⢠Mental health services 378⢠Substance use treatment programs 379⢠Senior services 380⢠Disability resources 381⢠Caregiver support services 382⢠Community-based organizations 383⢠Educational and wellness programs 384 385Our goal is to ensure you have access to the services and support needed to improve your health, increase your independence, and strengthen your connection to the community.`}]},{title:"Behavioral Health",faqs:[{q:"What are Behavioral Health services?",a:`Behavioral Health services support your emotional, psychological, and behavioral well-being. At Pacific Health Group, we recognize that mental health is just as important as physical health, and we take a whole-person approach to care. 386 387Our Behavioral Health team works with members to identify challenges, coordinate appropriate services, connect them with qualified providers, and support their journey toward improved mental wellness. 388 389Behavioral Health services are often integrated with Enhanced Care Management (ECM), Community Health Worker (CHW), and Community Supports (CS) to ensure all aspects of a member's health are addressed.`},{q:"What Behavioral Health services do you offer?",a:`Our Behavioral Health services may include: 390⢠Behavioral health assessments and screenings 391⢠Individual therapy and counseling referrals 392⢠Mental health care coordination 393⢠Medication management coordination 394⢠Crisis prevention planning 395⢠Depression and anxiety support 396⢠Substance use disorder care coordination 397⢠Connection to psychiatrists and licensed therapists 398⢠Care planning with your healthcare providers 399⢠Community resource referrals 400⢠Ongoing case management and follow-up 401⢠Coordination between physical and behavioral healthcare providers 402 403Services are personalized based on your needs and your Managed Care Plan benefits.`},{q:"What mental health conditions do you help with?",a:`Our team supports individuals experiencing a wide range of behavioral and mental health concerns, including: 404⢠Anxiety disorders 405⢠Depression 406⢠Bipolar disorder 407⢠Schizophrenia and other psychotic disorders 408⢠Post-Traumatic Stress Disorder (PTSD) 409⢠Trauma-related conditions 410⢠Substance use disorders 411⢠Stress-related conditions 412⢠Adjustment disorders 413⢠Mood disorders 414⢠Grief and loss 415⢠Co-occurring medical and behavioral health conditions 416 417If you're unsure whether we can help with your specific situation, our team can discuss your needs and connect you with the appropriate services.`},{q:"Do you offer counseling or therapy?",a:`Yes. Depending on your health plan, eligibility, and individual needs, members may be connected with licensed behavioral health professionals who provide counseling and therapy services. 418 419Treatment may include: 420⢠Individual counseling 421⢠Short-term therapy 422⢠Long-term behavioral health treatment 423⢠Trauma-informed care 424⢠Cognitive Behavioral Therapy (CBT) 425⢠Other evidence-based therapeutic approaches 426 427If specialized care is needed, we will coordinate referrals to qualified mental health providers within your health plan's network.`},{q:"Do you offer telehealth appointments?",a:`Yes. Many Behavioral Health services can be provided through secure telehealth appointments, allowing members to receive care from the comfort and privacy of their home. 428 429Telehealth may be appropriate for: 430⢠Therapy sessions 431⢠Behavioral health follow-up visits 432⢠Care coordination 433⢠Wellness check-ins 434⢠Treatment planning 435⢠Provider consultations 436 437Availability depends on your provider, health plan, and the type of service being provided.`},{q:"Can I receive Behavioral Health services and Enhanced Care Management (ECM) at the same time?",a:`Yes. Many members receive Behavioral Health services alongside Enhanced Care Management, Community Health Worker services, and Community Supp
437orts. 438 439Our interdisciplinary care team works together to coordinate your physical, behavioral, and social care needs, helping ensure that every provider involved in your care is working toward the same goals. This integrated approach helps improve communication, reduce gaps in care, and provide more comprehensive support.`},{q:"How quickly can I begin Behavioral Health services?",a:`The timeline depends on your eligibility, your Managed Care Plan, the urgency of your needs, and provider availability. 440 441After your referral or enrollment: 4421. Your eligibility and benefits will be verified. 4432. A behavioral health assessment may be completed. 4443. Our team will determine the most appropriate level of care. 4454. You will be connected with the appropriate behavioral health provider or services. 446 447Our goal is to connect members with care as quickly as possible while ensuring they receive the most appropriate services for their individual needs.`},{q:"Is my Behavioral Health information confidential?",a:`Yes. Your privacy is extremely important to us. Behavioral Health services are provided in accordance with all applicable federal and state privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA). 448 449Your personal health information is only shared with individuals involved in your care when permitted or required by law. We maintain strict confidentiality and use secure systems to protect your information. 450 451If you have questions about privacy, consent, or how your information is shared, our team will be happy to explain your rights and answer any concerns.`},{q:"What should I do if I am experiencing a mental health crisis?",a:`If you are experiencing a behavioral health emergency or believe you may be at immediate risk of harming yourself or others, call 911 or go to the nearest emergency department immediately. 452 453If you are experiencing emotional distress or need immediate mental health support, you can also contact the 988 Suicide & Crisis Lifeline by calling or texting 988, where trained counselors are available 24 hours a day, 7 days a week. 454 455For non-emergency behavioral health concerns, Pacific Health Group can help coordinate ongoing treatment and connect you with appropriate mental health resources through your care team and health plan.`}]},{title:"Street Medicine & Community Outreach",faqs:[{q:"What is Street Medicine?",a:`Street Medicine is a healthcare delivery model that brings medical care and supportive services directly to individuals who are unable to access traditional healthcare settings. 456 457Rather than requiring members to visit a clinic or hospital, Street Medicine providers meet people where they areâincluding sidewalks, parks, shelters, encampments, vehicles, and other community locations. 458 459The goal is to build trust, provide compassionate care, and connect individuals with the healthcare and social services they need to improve their health and transition toward greater stability.`},{q:"Who benefits from Street Medicine?",a:`Street Medicine is designed for individuals who face significant barriers to accessing healthcare. 460 461Members who may benefit include those who: 462⢠Are experiencing homelessness or housing instability 463⢠Have chronic medical conditions that are difficult to manage 464⢠Frequently use emergency departments 465⢠Have serious mental illness or substance use disorders 466⢠Have limited access to transportation 467⢠Have difficulty keeping medical appointments 468⢠Are disconnected from primary care 469⢠Are transitioning from hospitals, shelters, or correctional facilities 470⢠Need intensive outreach and engagement to reconnect with healthcare services 471 472Our outreach teams focus on engaging members who might otherwise go without the care and support they need.`},{q:"What services are provided through Street Medicine?",a:`Street Medicine goes beyond basic medical care by addressing both healthcare needs and the social factors that impact overall well-being. 473 474Services may include: 475⢠Health assessments and wellness checks 476⢠Care coordination 477⢠Chronic disease management 478⢠Medication support and education 479⢠Wound care and basic medical treatment 480⢠Behavioral health engagement 481⢠Substance use support and referrals 482⢠Health education 483⢠Assistance scheduling medical appointments 484⢠Connection to primary care providers 485⢠Enrollment into Enhanced Care Management (ECM)
486⢠Referrals to Community Supports (CS) 487⢠Community Health Worker (CHW) engagement 488⢠Housing navigation and resource connections 489⢠Transportation coordination 490⢠Assistance obtaining identification and public benefits 491⢠Referrals to food, shelter, and community resources 492 493Services are personalized based on each member's unique needs and eligibility.`},{q:"Do you visit homeless encampments?",a:`Yes. Our Street Medicine and Community Outreach teams regularly engage individuals in locations where they are living, including homeless encampments, shelters, transitional housing programs, and other community settings. 494 495Our approach is respectful, compassionate, and centered on building trusting relationships over time. Every interaction is focused on meeting members where they areâboth physically and personallyâand helping them access healthcare and supportive services.`},{q:"Can you meet members where they are?",a:`Absolutely. One of the core principles of Street Medicine is meeting individuals in the environments where they feel most comfortable. 496 497Depending on the situation, our teams may meet members at: 498⢠Homeless encampments 499⢠Shelters 500⢠Transitional housing 501⢠Recuperative care facilities 502⢠Parks and public spaces 503⢠Community centers 504⢠Libraries 505⢠Food distribution sites 506⢠Faith-based organizations 507⢠Hospitals following discharge 508⢠Other safe community locations 509 510By reducing barriers to care, we make it easier for members to receive the support they need without requiring them to navigate the healthcare system alone.`},{q:"Do you work with shelters and community organizations?",a:`Yes. Pacific Health Group partners with a wide range of organizations to ensure members receive coordinated, comprehensive support. 511 512Our partners may include: 513⢠Emergency shelters 514⢠Transitional housing providers 515⢠Community-Based Organizations (CBOs) 516⢠Federally Qualified Health Centers (FQHCs) 517⢠Hospitals and health systems 518⢠Primary care clinics 519⢠Behavioral health providers 520⢠Substance use treatment programs 521⢠Food assistance organizations 522⢠Faith-based organizations 523⢠Local government agencies 524⢠County health departments 525⢠Managed Care Plans (MCPs) 526 527These partnerships help us connect members to healthcare, housing, behavioral health, nutrition, and other essential resources.`},{q:"Can Street Medicine help someone transition into housing?",a:`Yes. While Street Medicine does not directly provide permanent housing, our teams play an important role in helping members begin the journey toward housing stability. 528 529We can assist by: 530⢠Assessing housing needs 531⢠Connecting members with housing navigation services 532⢠Coordinating Community Supports related to housing 533⢠Referring to local housing programs 534⢠Collaborating with housing providers and community organizations 535⢠Helping members access available benefits and supportive services 536⢠Coordinating care during the transition into stable housing 537 538Our goal is to support long-term health by addressing the housing challenges that often contribute to poor health outcomes.`},{q:"How do outreach teams locate members?",a:`Our outreach teams work closely with Managed Care Plans, healthcare providers, hospitals, and community partners to identify and engage eligible members. 539 540Depending on the referral and available information, outreach may include: 541⢠Phone calls and text messages 542⢠In-person visits 543⢠Hospital bedside visits 544⢠Shelter outreach 545⢠Encampment engagement 546⢠Coordination with community organizations 547⢠Referrals from healthcare providers 548⢠Collaboration with family members or caregivers, when appropriate and authorized 549 550Our teams make every reasonable effort to connect with members while respecting their privacy, dignity, and personal choices.`},{q:"Is participation in Street Medicine voluntary?",a:`Yes. Participation in Street Medicine and Community Outreach services is voluntary. Members are encouraged to participate because these services can improve access to healthcare and supportive resources, but individuals always have the right to accept or decline services. 551 552Our teams focus on building trust through compassionate, respectful engagement and supporting members at a pace that aligns with their needs and readiness for care.`}]},{title:"Populations of Focus (CalAIM)",faqs:[{q:"What are CalAIM Populations of Focus?",a:`CalAIM (California Advancing and Innovating Medi-Cal) identifies specific Populations of Focus (POF) to ensure that Medi-Cal members with the most complex medical, behavioral, and social needs receive enhanced care and support. 553 554These populations are individuals who often face significant barr
554iers to healthcare and may benefit from Enhanced Care Management (ECM), Community Supports (CS), Community Health Worker (CHW), Behavioral Health (BH), and other coordinated services. 555 556By identifying these populations, Managed Care Plans and healthcare providers can deliver personalized, whole-person care that improves health outcomes, reduces unnecessary hospitalizations, and helps individuals live healthier, more independent lives.`},{q:"Which Populations of Focus does Pacific Health Group serve?",a:`Pacific Health Group serves eligible Medi-Cal members across multiple CalAIM Populations of Focus, including: 557⢠Individuals and families experiencing homelessness 558⢠Adults with serious mental illness (SMI) or substance use disorders (SUD) 559⢠Adults with complex medical conditions 560⢠Children and youth with complex physical, developmental, or behavioral health needs 561⢠Justice-involved individuals transitioning back into the community 562⢠Individuals transitioning from hospitals, skilled nursing facilities, or other institutions 563⢠Individuals at risk of long-term institutionalization 564⢠High utilizers of emergency departments and inpatient services 565⢠Pregnant and postpartum individuals with complex medical or social needs 566⢠Older adults with multiple chronic conditions 567⢠Individuals experiencing significant social determinants of health, including food insecurity, transportation barriers, and housing instability 568 569Eligibility is determined by your Medi-Cal Managed Care Plan and specific CalAIM criteria.`},{q:"How do I know which Population of Focus I belong to?",a:`You do not need to determine this on your own. Our enrollment specialists and care team work with your Managed Care Plan to review your medical history, healthcare utilization, and social needs to determine whether you qualify under one or more Populations of Focus. 570 571Factors that may be considered include: 572⢠Your medical diagnoses 573⢠Hospital and emergency room utilization 574⢠Behavioral health needs 575⢠Housing status 576⢠Functional limitations 577⢠Pregnancy status 578⢠Age 579⢠Justice system involvement 580⢠Previous healthcare services 581⢠Other health-related social needs 582 583If you believe you may qualify, we encourage you to contact our team for an eligibility review.`},{q:"Can I qualify under more than one Population of Focus?",a:`Yes. Many Medi-Cal members meet the criteria for multiple Populations of Focus. 584 585For example, an individual may: 586⢠Experience homelessness while managing multiple chronic illnesses. 587⢠Have serious mental illness and frequent emergency room visits. 588⢠Be recovering from hospitalization while needing housing support. 589⢠Be justice-involved while also living with complex medical conditions. 590 591Your care plan is developed based on your overall needs rather than a single category, ensuring you receive coordinated, comprehensive support across all eligible services.`},{q:"Does qualifying for a Population of Focus guarantee enrollment?",a:`Not necessarily. Meeting the criteria for a Population of Focus does not automatically result in enrollment. 592 593Enrollment depends on several factors, including: 594⢠Your Medi-Cal eligibility 595⢠Enrollment in a participating Managed Care Plan 596⢠Clinical eligibility requirements 597⢠Health plan authorization 598⢠Availability of specific CalAIM services 599 600Pacific Health Group works closely with Managed Care Plans to verify eligibility and guide members through the enrollment process as quickly and efficiently as possible.`},{q:'What does "whole-person care" mean?',a:`Whole-person care means treating more than just a medical condition. At Pacific Health Group, we recognize that health is influenced by physical, behavioral, emotional, and social factors. Our care teams work together to address all aspects of your well-being by coordinating medical care, behavioral health services, housing resources, nutrition support, transportation, and other community-based services. 601 602This integrated approach helps improve overall health, reduce barriers to care, and support long-term wellness.`},{q:"Can my Population of Focus change over time?",a:`Yes. Your health and life circumstances can change, and your eligibility may change as well. 603 604For example, you may qualify for additional services after:
605⢠A hospitalization 606⢠Becoming pregnant 607⢠Experiencing housing instability 608⢠Developing a chronic medical condition 609⢠Entering or leaving the justice system 610⢠Transitioning from a skilled nursing facility 611⢠Experiencing changes in your behavioral health 612 613Our care team regularly reassesses your needs to ensure you continue receiving the most appropriate services available.`},{q:"How are Populations of Focus determined?",a:`Populations of Focus are established by the California Department of Health Care Services (DHCS) as part of the CalAIM initiative. 614 615Managed Care Plans use DHCS guidelines, clinical information, healthcare utilization, and social determinants of health to identify members who may benefit from Enhanced Care Management and Community Supports. 616 617Pacific Health Group collaborates with health plans, providers, hospitals, and community organizations to help identify eligible members and connect them with the services that best meet their needs.`},{q:"Can someone refer me if they think I qualify?",a:`Yes. Referrals can be submitted by: 618⢠Primary Care Providers (PCPs) 619⢠Specialists 620⢠Hospitals 621⢠Emergency Departments 622⢠Behavioral Health Providers 623⢠Community-Based Organizations (CBOs) 624⢠Skilled Nursing Facilities 625⢠Shelters 626⢠Health Plans 627⢠Family members or caregivers (with appropriate authorization) 628⢠Self-referrals 629 630Once a referral is received, our team will verify eligibility, coordinate with your Managed Care Plan, and guide you through the next steps if you qualify for services.`},{q:"Why are Populations of Focus important?",a:`The Populations of Focus framework allows healthcare providers to proactively identify individuals who are most likely to benefit from coordinated, community-based care. 631 632By focusing on members with the greatest medical, behavioral, and social needs, Pacific Health Group can: 633⢠Improve access to healthcare services 634⢠Reduce avoidable emergency room visits and hospitalizations 635⢠Coordinate care across multiple providers 636⢠Address housing, food, and transportation challenges 637⢠Support behavioral health needs 638⢠Promote long-term independence and stability 639⢠Improve overall quality of life 640 641Our mission is to ensure that every eligible member receives compassionate, coordinated, and personalized care that addresses their unique circumstances and helps them achieve better health outcomes.`}]},{title:"Care Coordination",faqs:[{q:"What is Care Coordination?",a:`Care Coordination is the process of organizing and managing your healthcare services so that all members of your care team work together toward your health goals. 642 643At Pacific Health Group, we take a whole-person approach by coordinating medical care, behavioral health, social services, and community resources. Our goal is to simplify the healthcare experience, reduce gaps in care, and ensure you receive the right services at the right time. 644 645Whether you're managing a chronic condition, recovering from a hospital stay, or navigating multiple providers, our team is here to help every step of the way.`},{q:"How do you coordinate my care?",a:`Our interdisciplinary care team works closely with your healthcare providers, health plan, caregivers, and community organizations to ensure your care is seamless and personalized. 646 647Depending on your needs, we may: 648⢠Develop a personalized care plan 649⢠Coordinate appointments and referrals 650⢠Communicate with your Primary Care Provider (PCP) 651⢠Coordinate specialist care 652⢠Connect you with behavioral health services 653⢠Arrange Community Supports 654⢠Connect you with Community Health Workers 655⢠Monitor your progress and update your care plan 656⢠Help remove barriers such as transportation, housing, or food insecurity 657 658Every care plan is tailored to your individual health goals and personal circumstances.`},{q:"Will you communicate with my doctor?",a:`Yes. With your permission and in accordance with HIPAA privacy regulations, our care team works directly with your Primary Care Provider (PCP) and other healthcare professionals involved in your care. 659 660We may communicate regarding: 661⢠Care plans 662⢠Treatment recommendations 663⢠Hospital admissions and discharges 664⢠Medication concerns
665⢠Follow-up appointments 666⢠Preventive care 667⢠Health goals 668⢠Progress updates 669 670This collaboration helps ensure everyone involved in your care has the information needed to provide coordinated, high-quality care.`},{q:"Do you work with hospitals?",a:`Absolutely. Pacific Health Group partners with hospitals and healthcare systems throughout California to help members receive coordinated care before, during, and after hospitalization. 671 672Our team may assist with: 673⢠Hospital discharge planning 674⢠Scheduling follow-up appointments 675⢠Medication coordination 676⢠Connecting members to primary care 677⢠Arranging Community Supports 678⢠Behavioral health coordination 679⢠Home and community resource referrals 680⢠Preventing avoidable hospital readmissions 681 682Our goal is to help members recover safely while ensuring continuity of care after leaving the hospital.`},{q:"Can you coordinate specialists?",a:`Yes. Many members receive care from multiple healthcare providers, and keeping everyone informed is an important part of effective care coordination. 683 684Our team can help coordinate care with: 685⢠Primary Care Providers 686⢠Cardiologists 687⢠Endocrinologists 688⢠Neurologists 689⢠Oncologists 690⢠Orthopedic specialists 691⢠Behavioral health providers 692⢠Psychiatrists 693⢠Physical therapists 694⢠Occupational therapists 695⢠Home health agencies 696⢠Other specialists involved in your care 697 698By facilitating communication among providers, we help reduce duplication of services, improve treatment planning, and create a more connected healthcare experience.`},{q:"Can you help manage my medications?",a:`Yes. While Pacific Health Group does not prescribe medications, our care team can help you better manage your medication regimen by: 699⢠Reviewing your medication list 700⢠Encouraging medication adherence 701⢠Coordinating with your prescribing providers 702⢠Helping resolve prescription-related issues 703⢠Connecting you with pharmacies and medication assistance programs 704⢠Answering questions about your medication schedule 705⢠Helping ensure providers are aware of all medications you are taking 706 707Medication management is an important part of preventing complications and improving health outcomes.`},{q:"What if I miss an appointment?",a:`If you miss a medical appointment, your care team is here to help you get back on track. 708 709We may assist by: 710⢠Rescheduling your appointment 711⢠Coordinating transportation, if available 712⢠Identifying barriers that prevented you from attending 713⢠Communicating with your healthcare provider when appropriate 714⢠Updating your care plan if additional support is needed 715 716We understand that unexpected situations happen, and our goal is to help you continue receiving the care you need.`},{q:"Will someone remind me about appointments?",a:`Yes. Depending on your care plan and the services you receive, your care team may provide appointment reminders to help you stay on schedule. 717 718Reminders may include: 719⢠Phone calls 720⢠Text messages 721⢠Coordination with caregivers or authorized family members 722⢠Follow-up outreach from your Lead Care Manager or Community Health Worker 723 724Appointment reminders help reduce missed visits and ensure you remain connected to your healthcare providers.`},{q:"What happens if my healthcare needs change?",a:`Your care plan is designed to evolve with you. If your health, living situation, or personal circumstances change, your care team will reassess your needs and adjust your care plan accordingly. 725 726This may include: 727⢠Adding or changing services 728⢠Coordinating new specialists 729⢠Connecting you with Behavioral Health or Community Supports 730⢠Updating your health goals 731⢠Increasing or decreasing the frequency of care team contacts 732⢠Identifying additional community resources 733 734Our goal is to ensure you continue receiving the right level of support throughout every stage of your healthcare journey.`},{q:"Will my family or caregiver be involved in my care?",a:`Yes, if you choose. With your permission, we encourage family members, caregivers, or other authorized representatives to participate in y
734our care whenever appropriate. 735 736They may assist with: 737⢠Care planning 738⢠Appointment coordination 739⢠Medication support 740⢠Communication with healthcare providers 741⢠Health education 742⢠Accessing community resources 743⢠Ongoing support at home 744 745Including trusted individuals in your care can improve communication, strengthen support systems, and help you achieve better health outcomes while respecting your privacy and healthcare preferences.`}]},{title:"Health Plans & Coverage",faqs:[{q:"Which health plans does Pacific Health Group work with?",a:`Pacific Health Group partners with a variety of Medi-Cal Managed Care Plans (MCPs) throughout California to provide CalAIM services, including Enhanced Care Management (ECM), Community Supports (CS), Community Health Worker (CHW), Behavioral Health, and other care coordination services. 746 747Our contracted health plans and service areas continue to grow. Availability varies by county and by the specific services covered under each health plan. 748 749If you're unsure whether your health plan is partnered with Pacific Health Group, our team can verify your eligibility and coverage.`},{q:"Is there any cost to members?",a:`For eligible Medi-Cal members, there is typically no cost for covered services provided through Pacific Health Group. 750 751Services such as Enhanced Care Management (ECM), Community Supports (CS), and Community Health Worker (CHW) services are covered benefits for eligible members enrolled in participating Medi-Cal Managed Care Plans. 752 753Your eligibility and available benefits are determined by your health plan.`},{q:"What if I change health plans?",a:`If you change your Medi-Cal Managed Care Plan, your eligibility for Pacific Health Group services may change depending on whether your new health plan contracts with us. 754 755Our team will: 756⢠Review your new coverage 757⢠Verify your eligibility 758⢠Determine whether your services can continue 759⢠Help coordinate a smooth transition if changes are necessary 760⢠Work with your new health plan whenever possible to minimize interruptions in care 761 762Our priority is ensuring continuity of care throughout any coverage changes.`},{q:"Can I keep my current doctor?",a:`In many cases, yes. Pacific Health Group coordinates care with your existing Primary Care Provider (PCP) and specialists whenever possible. 763 764If your physician participates in your health plan's provider network, we will work collaboratively with them to coordinate your care. 765 766If you need assistance selecting or changing a Primary Care Provider, our care team can help you identify an in-network provider that best meets your needs.`},{q:"Do you serve Medicare members?",a:`Our primary focus is serving eligible Medi-Cal members through California's CalAIM program. 767 768However, some individuals who have both Medicare and Medi-Cal (commonly referred to as dual-eligible members) may also qualify for certain services, depending on their Managed Care Plan and eligibility requirements. 769 770If you have Medicare, Medi-Cal, or both, our team can review your coverage and determine which services may be available to you.`},{q:"Do you accept dual-eligible members?",a:`Yes. Many individuals who have both Medicare and Medi-Cal may qualify for services through Pacific Health Group. 771 772Eligibility depends on: 773⢠Your Managed Care Plan 774⢠Your county of residence 775⢠Your CalAIM eligibility 776⢠The specific services authorized under your health plan 777 778Our enrollment specialists can verify your eligibility and explain the benefits available under your coverage.`},{q:"What if I don't know which health plan I have?",a:`That's okay. If you're unsure which Medi-Cal Managed Care Plan you're enrolled in, our team can often help identify your coverage and verify your eligibility. 779 780When you contact us, we may ask for basic information such as: 781⢠Your full name 782⢠Date of birth 783⢠Medi-Cal identification number (if available) 784⢠Contact information 785 786Once verified, we'll explain the services available through your health plan and guide you through the next steps.`},{q:"Will my health plan need to approve services?",a:`In many cases, yes. Certain CalAIM services require eligibility verification and authorization by your Medi-Cal Managed Care Plan. 787 788Pacific Health Group works directly with your health plan to: 789⢠Verify eligibility 790⢠Submit required documentation 791⢠Coordinate service authorizations 792⢠Ensure services align with your individual care needs 793 794Our team manages much of this process on your behalf to make enrollment as simple and efficie
794nt as possible.`},{q:"What if I'm not eligible for CalAIM services?",a:`If you don't qualify for a specific CalAIM service, we'll still do our best to connect you with other healthcare providers, community organizations, or local resources that may be able to assist you. 795 796Depending on your situation, we may provide referrals to: 797⢠Community-Based Organizations (CBOs) 798⢠Behavioral health providers 799⢠Housing resources 800⢠Food assistance programs 801⢠Transportation services 802⢠Local county programs 803⢠Other healthcare and social service agencies 804 805Our goal is to help every individual find the support they need, even if they are not eligible for services through Pacific Health Group.`},{q:"How do I verify my eligibility?",a:`Verifying your eligibility is simple. You can contact Pacific Health Group directly by phone or through our website. One of our enrollment specialists will: 8061. Review your Medi-Cal coverage. 8072. Verify your Managed Care Plan. 8083. Determine your eligibility for available services. 8094. Answer any questions you have. 8105. Guide you through the enrollment process if you qualify. 811 812The eligibility review is free, confidential, and comes with no obligation to enroll. Our team is here to help you understand your options and access the care and support that's right for you.`}]},{title:"Housing & Social Support",faqs:[{q:"Can Pacific Health Group help me find housing?",a:`Yes. If you're experiencing homelessness or housing instability, Pacific Health Group can help connect you with housing-related resources and Community Supports that may be available through your Medi-Cal Managed Care Plan. 813 814Depending on your eligibility, we may assist with: 815⢠Housing navigation and search assistance 816⢠Applications for housing programs 817⢠Referrals to shelters and transitional housing 818⢠Permanent supportive housing resources 819⢠Coordination with local housing agencies 820⢠Landlord communication and housing advocacy
821⢠Ongoing tenancy support 822 823While we do not directly provide permanent housing, we work with community partners and housing providers to help eligible members secure stable housing whenever possible.`},{q:"Can you help pay my rent?",a:`Community Supports may include housing-related benefits for eligible members; however, Pacific Health Group does not directly provide ongoing rental assistance or pay monthly rent. 824 825Depending on your Managed Care Plan and eligibility, you may qualify for services such as: 826⢠Housing transition support 827⢠Housing deposits 828⢠Housing navigation 829⢠Tenancy-sustaining services 830⢠Referrals to rental assistance programs and local housing agencies 831 832Our team will help identify available programs and connect you with resources that best fit your situation.`},{q:"Can you help with utilities?",a:`Yes. If utility costs are creating barriers to your health or housing stability, we may be able to connect you with community programs that offer assistance with: 833⢠Electricity 834⢠Gas 835⢠Water 836⢠Heating and cooling assistance 837⢠Energy assistance programs 838 839While Pacific Health Group does not directly pay utility bills, we can help eligible members access local, county, state, and nonprofit assistance programs.`},{q:"Can you help me obtain food?",a:`Absolutely. Access to nutritious food is an important part of maintaining good health. 840 841Depending on your needs and eligibility, we can connect you with: 842⢠Local food banks 843⢠Community meal programs 844⢠Food pantries 845⢠Medically supportive meal programs 846⢠Nutrition assistance services 847⢠Community organizations that provide food resources 848 849If you're eligible through your Managed Care Plan, you may also qualify for CalAIM Community Supports related to medically tailored meals or nutrition services.`},{q:"Can you help me apply for CalFresh (SNAP)?",a:`Yes. Our care team and Community Health Workers can help you understand the CalFresh application process and connect you with agencies that administer benefits. 850 851We may assist with: 852⢠Determining where to apply 853⢠Completing applications 854⢠Gathering required documentation 855⢠Connecting you with county benefit offices 856⢠Following up on available community resources 857 858While Pacific Health Group does not determine eligibility or approve benefits, we can help make the process easier to navigate.`},{q:"Can you help with transportation?",a:`Yes. Transportation is one of the most common barriers to receiving healthcare. Depending on your eligibility and health plan benefits, we may help coordinate transportation for: 859⢠Medical appointments 860⢠Specialist visits 861⢠Behavioral health services 862⢠Pharmacy visits 863⢠Other medically necessary healthcare services 864 865Our team will work with your Managed Care Plan to determine which transportation benefits are available and help arrange services whenever possible.`},{q:"Can you help me replace identification documents?",a:`Yes. Many members face challenges accessing healthcare or housing because they are missing important identification documents. 866 867Our team can help connect you with resources to obtain or replace documents such as: 868⢠California Identification Card 869⢠Driver's License 870⢠Birth Certificate 871⢠Social Security Card 872⢠Medi-Cal identification information 873⢠Other essential documents needed to access services 874 875We work with local agencies and community organizations to help simplify the process whenever possible.`},{q:"Can you help me access financial assistance programs?",a:`Yes. Our team can connect eligible members with a variety of public benefits and community assistance programs based on their individual needs. 876 877Depending on your circumstances, we may provide referrals for: 878⢠CalFresh (SNAP) 879⢠General Assistance 880⢠Supplemental Security Income (SSI) 881⢠Social Security Disability Insurance (SSDI) 882⢠Utility assistance 883⢠Emergency financial assistance 884⢠Veteran services 885⢠Employment and workforce programs 886⢠Local nonprofit support programs 887 888Our goal is to help reduce financial barriers that may affect your health and well-being.`},{q:"What if I need multiple types of support?",a:`That's exactly what our care teams are designed to address. Many members face more than one challenge at a time, such as housing instability, food insecurity, transportation barriers, behavioral health needs, or chronic medical conditions. 889 890Rather than addressing each issue separately, Pacific Health Group takes a whole-person approach by coordinating all eligible services through a single, personalized care plan. Your care team will work together to connect you with the healthcare providers, community resources, and support services you need to improve your health and quality of life.`},{q:"How do I request Housing & Social Support services?",a:`Getting started is easy. You can contact Pacific Health Group directly, ask your healthcare provider for a referral, or speak with your Medi-Cal Managed Care Plan. 891 892Our enrollment specialists will: 8931. Review your eligibility. 8942. Assess your healthcare and social needs.
8953. Identify available Community Supports and resources. 8964. Develop a personalized care plan. 8975. Connect you with the appropriate services and community partners. 898 899Our mission is to help remove barriers to care so you can focus on improving your health, achieving greater stability, and living as independently as possible.`}]},{title:"Referrals",faqs:[{q:"Who can refer someone to Pacific Health Group?",a:`Anyone who believes an individual may benefit from our services can submit a referral. 900 901We accept referrals from: 902⢠Primary Care Providers (PCPs) 903⢠Specialists 904⢠Hospitals and Health Systems 905⢠Emergency Departments 906⢠Urgent Care Centers 907⢠Skilled Nursing Facilities (SNFs) 908⢠Behavioral Health Providers 909⢠Community-Based Organizations (CBOs) 910⢠Federally Qualified Health Centers (FQHCs) 911⢠Health Plans and Managed Care Plans (MCPs) 912⢠Social Workers and Case Managers 913⢠Home Health Agencies 914⢠Caregivers and Family Members 915⢠Self-referrals from members 916 917Our goal is to make the referral process simple, timely, and accessible.`},{q:"How do I refer someone?",a:`Submitting a referral is easy. You can refer an individual by: 918⢠Completing our secure online referral form 919⢠Calling our referral team directly 920⢠Contacting us through our website 921⢠Sending a referral through an approved health plan or provider portal (where applicable) 922 923Once we receive the referral, our team will review the information, verify eligibility, and begin the outreach process.`},{q:"What information is needed to submit a referral?",a:`To help us process a referral as quickly as possible, we recommend providing: 924⢠Member's full name 925⢠Date of birth 926⢠Phone number 927⢠Home or mailing address 928⢠Medi-Cal or health plan information (if available) 929⢠Primary Care Provider (if known) 930⢠Reason for the referral 931⢠Current medical, behavioral, or social concerns 932⢠Referring organization and contact information 933 934If some information is unavailable, you can still submit the referral. Our team will work to gather any additional details needed.`},{q:"Can I refer myself?",a:`Yes. If you believe you could benefit from our services, you are welcome to contact Pacific Health Group directly. 935 936Our enrollment specialists will: 937⢠Review your eligibility 938⢠Verify your health plan 939⢠Explain available services 940⢠Answer your questions 941⢠Guide you through the enrollment process 942 943Self-referrals are always welcome.`},{q:"Can family members or caregivers submit referrals?",a:`Yes. Family members, caregivers, legal guardians, or authorized representatives may refer someone who could benefit from our services. 944 945Depending on the individual's situation and applicable privacy laws, we may need the member's consent before discussing personal health information or initiating services. Our team will guide you through any required authorization during the enrollment process.`},{q:"Can healthcare providers submit referrals?",a:`Absolutely. We work closely with physicians, hospitals, specialists, behavioral health providers, discharge planners, social workers, and care coordinators to support patients with complex healthcare needs. 946 947Provider referrals help ensure patients receive timely care coordination and access to appropriate community resources following diagnosis, hospitalization, or other healthcare events.`},{q:"Can Community-Based Organizations (CBOs) submit referrals?",a:`Yes. Pacific Health Group partners with Community-Based Organizations throughout California to connect eligible individuals with healthcare and supportive services. 948 949We regularly receive referrals from organizations such as: 950⢠Homeless service providers 951⢠Food assistance programs 952⢠Domestic violence organizations 953⢠Faith-based organizations 954⢠Senior service agencies 955⢠Veteran organizations 956⢠Recovery programs 957⢠Housing providers 958⢠Community resource centers 959 960We value these partnerships and work collaboratively to improve health outcomes for the communities we serve.`},{q:"How quickly do you respond to referrals?",a:`Our team begins reviewing referrals as soon as they are received. Response times may vary depending on eligibility verification, health plan requirements, and the urgency of the member's needs. Whenever possible, we make timely outreach to engage referred individuals and begin the enrollment process. 961 962For urgent care needs, we encourage referring providers to notify our team so we can prioritize appropriate follow-up.`},{q:"What happens after a referral is submitted?",a:`After receiving a referral, our team follows a
962structured enrollment process: 9631. Review the referral information. 9642. Verify the member's eligibility and health plan coverage. 9653. Contact the member or authorized representative. 9664. Complete an intake and needs assessment. 9675. Determine eligibility for available services. 9686. Develop a personalized care plan. 9697. Connect the member with the appropriate care team and services. 970 971Throughout the process, we work closely with the referring provider or organization, when appropriate and authorized, to ensure continuity of care.`},{q:"Will I receive updates after making a referral?",a:`Yes, when permitted by privacy regulations and with the appropriate authorizations. For healthcare providers, health plans, and authorized referral partners, Pacific Health Group may provide updates regarding: 972⢠Referral receipt and acknowledgment 973⢠Eligibility determination 974⢠Enrollment status 975⢠Successful member engagement 976⢠Care coordination milestones 977⢠Additional information needed to complete the referral 978 979Our goal is to maintain clear communication while protecting every member's privacy in accordance with HIPAA and other applicable laws.`},{q:"Is there a cost to submit a referral?",a:`No. Submitting a referral to Pacific Health Group is free. There is no cost for providers, community organizations, family members, caregivers, or individuals to refer someone for consideration. 980 981If the individual is eligible for covered services through their Medi-Cal Managed Care Plan, those services are generally provided at no cost to the member.`},{q:"Why refer someone to Pacific Health Group?",a:`Pacific Health Group specializes in helping individuals with complex medical, behavioral, and social needs navigate the healthcare system and access the resources they need to thrive. 982 983By referring a member to our team, you're connecting them with experienced professionals who can: 984⢠Coordinate care across multiple providers 985⢠Address barriers such as housing, food, and transportation 986⢠Improve access to primary and specialty care 987⢠Support behavioral health needs 988⢠Reduce avoidable emergency room visits and hospitalizations 989⢠Connect members with valuable community resources 990⢠Improve overall health, independence, and quality of life 991 992Our mission is to provide compassionate, whole-person care that empowers every member to achieve better health outcomes and long-term stability.`}]},{title:"For Healthcare Providers",faqs:[{q:"Why should I partner with Pacific Health Group?",a:`Pacific Health Group serves as an extension of your care team by providing comprehensive, community-based care coordination for Medi-Cal members with complex medical, behavioral, and social needs. 993 994Our interdisciplinary approach helps providers improve patient outcomes by addressing barriers that often fall outside the traditional clinical setting, including housing instability, food insecurity, transportation challenges, behavioral health needs, and care navigation. 995 996We work collaboratively with providers to improve continuity of care, reduce avoidable hospital utilization, and support long-term patient engagement.`},{q:"What services do you provide to my patients?",a:`Pacific Health Group offers a comprehensive suite of CalAIM and community-based services, including: 997⢠Enhanced Care Management (ECM) 998⢠Community Supports (CS) 999⢠Community Health Worker (CHW) Services 1000⢠Behavioral Health Care Coordination 1001⢠Street Medicine & Community Outreach 1002⢠Care Coordination 1003⢠Health Education 1004⢠Resource Navigation 1005⢠Social Determinants of Health (SDOH) Support 1006 1007Services are tailored to each member's individual needs and eligibility through their Medi-Cal Managed Care Plan.`},{q:"Which patients should I refer?",a:`Patients who may benefit from our services include those who: 1008⢠Have multiple chronic medical conditions 1009⢠Frequently visit emergency departments
1010⢠Experience repeated hospitalizations 1011⢠Have serious mental illness or substance use disorders 1012⢠Experience homelessness or housing instability 1013⢠Have transportation or food insecurity challenges 1014⢠Require coordination across multiple providers 1015⢠Have difficulty navigating the healthcare system 1016⢠Need assistance following treatment plans 1017⢠Are transitioning from hospitals or skilled nursing facilities 1018⢠Are justice-involved or recently released from incarceration 1019⢠Have significant social determinants of health affecting their care 1020 1021If you're unsure whether a patient qualifies, our team is happy to review eligibility.`},{q:"How do I submit a referral?",a:`Providers can submit referrals through several convenient methods: 1022⢠Our secure online referral form 1023⢠Direct phone referral 1024⢠Approved health plan referral portals 1025⢠Secure electronic communication (where available) 1026⢠Coordinated referrals through participating Managed Care Plans 1027 1028Our referral specialists are available to assist with the process and answer any questions.`},{q:"What happens after I submit a referral?",a:`Once a referral is received, Pacific Health Group will: 10291. Review the referral information. 10302. Verify eligibility with the member's Managed Care Plan. 10313. Contact the member to begin outreach. 10324. Complete an assessment and intake. 10335. Develop an individualized care plan. 10346. Assign the appropriate care team. 10357. Begin ongoing care coordination and supportive services. 1036 1037Our objective is to engage members promptly and begin addressing their healthcare and social needs as quickly as possible.`},{q:"Will I receive updates on my referred patients?",a:"Yes. When permitted under HIPAA and other applicable privacy regulations, Pacific Health Group maintains communication with referring providers regarding important care coordination activities."}]}];function Ze(){const[e,r]=l.useState(A(I[0].title));return l.useEffect(()=>{const n=new IntersectionObserver(a=>{a.forEach(i=>{i.isIntersecting&&r(i.target.id)})},{rootMargin:"-30% 0px -60% 0px",threshold:0});return I.forEach(a=>{const i=document.getElementById(A(a.title));i&&n.observe(i)}),()=>n.disconnect()},[]),o.jsxs(o.Fragment,{children:[o.jsx(fe,{eyebrow:"FAQ",title:"Questions, answered",italic:"simply.",children:"Quick answers about CalAIM services, eligibility, enrollment, care coordination, and community-based supports. Don't see your question? Call us at (888) 341-4449."}),o.jsx("section",{className:"py-20 lg:py-28",children:o.jsxs("div",{className:"mx-auto max-w-[100rem] px-6 lg:px-10 grid lg:grid-cols-[280px_minmax(0,1fr)] gap-12 lg:gap-16",children:[o.jsxs("aside",{className:"lg:sticky lg:top-28 self-start",children:[o.jsx("p",{className:"text-xs uppercase tracking-[0.2em] text-sunset font-medium",children:"Categories"}),o.jsx("h2",{className:"mt-2 font-display text-2xl tracking-tight",children:"Jump to a topic"}),o.jsx("nav",{className:"mt-6 flex lg:flex-col gap-2 overflow-x-auto lg:overflow-visible max-h-[70vh] lg:overflow-y-auto pr-1",children:I.map(n=>{const a=A(n.title),i=e===a;return o.jsxs("a",{href:`#${a}`,onClick:t=>{t.preventDefault();const s=document.getElementById(a);s&&(window.scrollTo({top:s.getBoundingClientRect().top+window.scrollY-100,behavior:"smooth"}),r(a))},className:`whitespace-nowrap lg:whitespace-normal text-left rounded-lg border px-4 py-3 text-sm transition-colors ${i?"border-midnight bg-midnight text-cream":"border-midnight/20 hover:border-sunset hover:text-sunset"}`,children:[o.jsx("span",{className:"block font-medium",children:n.title}),o.jsxs("span",{className:`block text-xs mt-0.5 ${i?"text-cream/70":"text-muted-foreground"}`,children:[n.faqs.length," question",n.faqs.length===1?"":"s"]})]},a)})})]}),o.jsx("div",{className:"space-y-16 min-w-0",children:I.map(n=>{const a=A(n.title);return o.jsxs("div",{id:a,className:"scroll-mt-28",children:[o.jsx("p",{className:"text-xs uppercase tracking-[0.2em] text-sunset font-medium",children:n.title}),o.jsx("h2",{className:"mt-3 font-display text-3xl tracking-tight",children:n.title}),o.jsx(Ue,{type:"single",collapsible:!0,className:"mt-6",children:n.faqs.map((i,t)=>o.jsxs(pe,{value:`${n.title}-${t}`,children:[o.jsx(ye,{className:"text-left font-medium",children:i.q}),o.jsx(ge,{className:"text-muted-foreground leading-relaxed whitespace-pre-line",children:i.a})]},t))})]},n.title)})})]})})]})}export{Ze as component};
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