ELIGIBILITY

• 18 year of age or older.

• One or more chronic or post acute medical, cognitive or mental health condition(s) identified by the participant’s personal health care provider as requiring monitoring, treatment or intervention, without which the participant’s condition(s) will likely deteriorate and require emergency department visits, hospitalization, or other institutionalization.

• The individual's network of non-ADHC support is insufficient to maintain the individual in the community, demonstrated by at least one of the following:

• Lives alone without family or caregivers available to provide sufficient and needed care or supervision

• Lives with one ore more related or unrelated individuals, but they are unwilling or  unable to provide sufficient and needed care and supervision to the individual

• The individual has family or caregivers available, but those individuals require respite in order to continue providing sufficient and necessary care or supervision

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• A high potential exists for the deterioration of the individuals medical, cognitive or mental health condition(s) in a manner likely to result in emergency dept. visits, hospitalization if ADHC services are not provided.

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• The individual's condition(s) requires all of the ADHC services proposed on each day of attendance that are individualized and 
  designed to maintain the ability of the individual to remain in the community and avoid emergency dept. visits, hospitalization or other  institutionalization.

PAYMENT OPTIONS

We accept the following insurance plans:

• Medi-Cal Fee for Service in Special Cases

• Care 1st Health Plan Medi-Cal HMO

• Community Health Group Medi-Cal HMO

• Health Net Medi-Cal HMO

• Kaiser Permanente Medi-Cal HMO

• Molina Healthcare Medi-Cal HMO

• SCAN Health Plan Medi-Cal HMO

• United Health Care Medi-Cal HMO

• Aetna Medi-Cal HMO

• San Diego Regional Center

• U.S. Department of Veterans Affairs (VA Insurance)

• Affordable Private Pay

• Long-Term Care Insurance