Community Supports

Community Supports (CS) are an important part of Titanium care delivery. Our Medi-Cal members with complex and challenging health problems can get one-on one help with housing, food, and other social needs.

What is Medi-Cal Community Supports?

Community Supports (CS) are extra support services available to qualifying Medi-Cal members at no extra charge, which aim to address both immediately pressing and underlying health-related social problems–going beyond the scope of traditional healthcare at the doctor’s office. These services range from housing to having healthy meals available to members in need.

Black and white image of a family holding moving boxes.

How do Medi-Cal recipients qualify for Community Supports?

Members qualify for Community Supports if they are:

  • Currently homeless
  • Chronically homeless, meaning they are disabled and have been homeless for over a year or homeless 4 separate times in the last 3 years
  • At risk of homelessness with at least 1 complex chronic condition

How does Community Supports differ from Enhanced Care Management?

Both programs are part of an effort to transform Medi-Cal by breaking down the barriers of traditional medical care by extending it into the community. While both programs seek to ‘teach a person to fish’ instead of acting for them, Community Supports covers immediate issues such as connecting members to the resources they need to secure housing in a pinch, and ECM covers a broader range of healthcare and social services.

What are the services provided by the Community Support program?

Titanium specialize in housing-related Community Supports services although there are currently 14 DHCS pre-approved Community Supports services. Access to each depends on a member’s health plan and location. If approved, some health plans may have services that are not on the pre-approved list.

Community Supports Services housing services provided by Titanium:

Housing Transition Navigation Services

Assisting individuals with obtaining housing.

Housing Deposits

Assisting with identifying, coordinating, securing, or funding one-time services and modifications necessary to enable a person to establish a basic household that does not constitute room and board.

Housing Tenancy and Sustaining Services

Aiming to help individuals maintain safe and stable tenancy once housing is secured.

Other Community Supports Services:

Short-Term Post-Hospitalization Housing

Providing those who do not have a residence, and who have high medical or behavioral health needs, the opportunity to continue their medical, psychiatric, or substance use recovery immediately after exiting an inpatient institutional setting.

Recuperative Care (Medical Respite)

Providing short-term integrated and clinical care for individuals who no longer require hospitalization but still need to heal from an injury or illness (including behavioral health conditions). The residential care includes housing, meals, ongoing monitoring of the member’s condition, and coordination of transport to appointments.

Respite Services

Short-term relief for caregivers of members. Members may receive services in their own home or in an approved facility. Hourly, daily, or nightly, based upon need.

Day Habilitation Programs

Homeless members may receive mentoring by a trained caregiver on the self-help, social and adaptive skills needed to live successfully in the community. Skills include the use of public transportation cooking, cleaning, personal finances, communicating with government agencies, and developing and maintaining interpersonal relationships. This support can be provided in a member’s home or in an out-of-home non-facility setting.

Nursing Facility Transition/Diversion to Assisted Living Facilities

Members who are living at home or in a nursing facility may be transferred to an assisted living facility in order to live in their community and avoid institutionalization in a nursing facility.

Assisted living provides services to create a community facility residence such as support with daily living activities, medication oversight, and 24-hour onsite care staff.

Community Transition Services/Nursing Facility Transition to a Home

Members who are transitioning from a nursing facility to a private residence where they will be responsible for their own expenses, receive funding for set-up services such as security deposits, set-up fees for utilities and health-related appliances like air conditioners, heaters, and hospital beds.

Personal Care and Homemaker Services

Members who need assistance with ADLs or Instrumental ADLs may receive in-home support in areas such as: bathing, feeding, meal preparation, grocery shopping, and accompaniment to medical appointments.

Environmental Accessibility Adaptations (Home Modifications)

Members may receive physical adaptations to their home that are necessary to ensure their health, welfare, and safety. Modifications and adaptations can include ramps, grab bars, widening of doorways, stair lifts, or making bathrooms wheelchair ready.

Meals and Medically Tailored Meals

Members can receive deliveries of nutritious, pre-prepared meals and healthy groceries. Members may also receive vouchers for healthy food and may also be able to receive nutrition education.

Sobering Centers

Members are provided with a short-term, safe, supportive environment in which to become sober. Sobering centers provide may provide medical triage, temporary beds, meals, substance use education, counseling and connections to other health care services.

Asthma Remediation

Members may receive physical modifications to their home to avoid acute asthma episodes due to environmental triggers such as mold. Modifications can include filtered vacuums, de-humidifiers, air filters, and ventilation.

What are the services provided by the Community Support program?

Titanium specialize in housing-related Community Supports services although there are currently 14 DHCS pre-approved Community Supports services. Access to each depends on a member’s health plan and location. If approved, some health plans may have services that are not on the pre-approved list.

Community Supports Services housing services provided by Titanium:

Housing Transition Navigation Services

Assisting individuals with obtaining housing.

Housing Deposits

Assisting with identifying, coordinating, securing, or funding one-time services and modifications necessary to enable a person to establish a basic household that does not constitute room and board.

Housing Tenancy and Sustaining Services

Aiming to help individuals maintain safe and stable tenancy once housing is secured.

Other Community Supports Services:

Short-Term Post-Hospitalization Housing

Providing those who do not have a residence, and who have high medical or behavioral health needs, the opportunity to continue their medical, psychiatric, or substance use recovery immediately after exiting an inpatient institutional setting.

Recuperative Care (Medical Respite)

Providing short-term integrated and clinical care for individuals who no longer require hospitalization but still need to heal from an injury or illness (including behavioral health conditions). The residential care includes housing, meals, ongoing monitoring of the member’s condition, and coordination of transport to appointments.

Respite Services

Short-term relief for caregivers of members. Members may receive services in their own home or in an approved facility. Hourly, daily, or nightly, based upon need.

Day Habilitation Programs

Homeless members may receive mentoring by a trained caregiver on the self-help, social and adaptive skills needed to live successfully in the community. Skills include the use of public transportation cooking, cleaning, personal finances, communicating with government agencies, and developing and maintaining interpersonal relationships. This support can be provided in a member’s home or in an out-of-home non-facility setting.

Nursing Facility Transition/Diversion to Assisted Living Facilities

Members who are living at home or in a nursing facility may be transferred to an assisted living facility in order to live in their community and avoid institutionalization in a nursing facility.

Assisted living provides services to create a community facility residence such as support with daily living activities, medication oversight, and 24-hour onsite care staff.

Community Transition Services/Nursing Facility Transition to a Home

Members who are transitioning from a nursing facility to a private residence where they will be responsible for their own expenses, receive funding for set-up services such as security deposits, set-up fees for utilities and health-related appliances like air conditioners, heaters, and hospital beds.

Personal Care and Homemaker Services

Members who need assistance with ADLs or Instrumental ADLs may receive in-home support in areas such as: bathing, feeding, meal preparation, grocery shopping, and accompaniment to medical appointments.

Environmental Accessibility Adaptations (Home Modifications)

Members may receive physical adaptations to their home that are necessary to ensure their health, welfare, and safety. Modifications and adaptations can include ramps, grab bars, widening of doorways, stair lifts, or making bathrooms wheelchair ready.

Meals and Medically Tailored Meals

Members can receive deliveries of nutritious, pre-prepared meals and healthy groceries. Members may also receive vouchers for healthy food and may also be able to receive nutrition education.

Sobering Centers

Members are provided with a short-term, safe, supportive environment in which to become sober. Sobering centers provide may provide medical triage, temporary beds, meals, substance use education, counseling and connections to other health care services.

Asthma Remediation

Members may receive physical modifications to their home to avoid acute asthma episodes due to environmental triggers such as mold. Modifications can include filtered vacuums, de-humidifiers, air filters, and ventilation.

What are the services provided by the Community Support program?

Titanium specialize in housing-related Community Supports services although there are currently 14 DHCS pre-approved Community Supports services. Access to each depends on a member’s health plan and location. If approved, some health plans may have services that are not on the pre-approved list.

Community Supports Services housing services provided by Titanium:

Housing Transition Navigation Services

Assisting individuals with obtaining housing.

Housing Deposits

Assisting with identifying, coordinating, securing, or funding one-time services and modifications necessary to enable a person to establish a basic household that does not constitute room and board.

Housing Tenancy and Sustaining Services

Aiming to help individuals maintain safe and stable tenancy once housing is secured.

Other Community Supports Services:

Short-Term Post-Hospitalization Housing

Providing those who do not have a residence, and who have high medical or behavioral health needs, the opportunity to continue their medical, psychiatric, or substance use recovery immediately after exiting an inpatient institutional setting.

Recuperative Care (Medical Respite)

Providing short-term integrated and clinical care for individuals who no longer require hospitalization but still need to heal from an injury or illness (including behavioral health conditions). The residential care includes housing, meals, ongoing monitoring of the member’s condition, and coordination of transport to appointments.

Respite Services

Short-term relief for caregivers of members. Members may receive services in their own home or in an approved facility. Hourly, daily, or nightly, based upon need.

Day Habilitation Programs

Homeless members may receive mentoring by a trained caregiver on the self-help, social and adaptive skills needed to live successfully in the community. Skills include the use of public transportation cooking, cleaning, personal finances, communicating with government agencies, and developing and maintaining interpersonal relationships. This support can be provided in a member’s home or in an out-of-home non-facility setting.

Nursing Facility Transition/Diversion to Assisted Living Facilities

Members who are living at home or in a nursing facility may be transferred to an assisted living facility in order to live in their community and avoid institutionalization in a nursing facility.

Assisted living provides services to create a community facility residence such as support with daily living activities, medication oversight, and 24-hour onsite care staff.

Community Transition Services/Nursing Facility Transition to a Home

Members who are transitioning from a nursing facility to a private residence where they will be responsible for their own expenses, receive funding for set-up services such as security deposits, set-up fees for utilities and health-related appliances like air conditioners, heaters, and hospital beds.

Personal Care and Homemaker Services

Members who need assistance with ADLs or Instrumental ADLs may receive in-home support in areas such as: bathing, feeding, meal preparation, grocery shopping, and accompaniment to medical appointments.

Environmental Accessibility Adaptations (Home Modifications)

Members may receive physical adaptations to their home that are necessary to ensure their health, welfare, and safety. Modifications and adaptations can include ramps, grab bars, widening of doorways, stair lifts, or making bathrooms wheelchair ready.

Meals and Medically Tailored Meals

Members can receive deliveries of nutritious, pre-prepared meals and healthy groceries. Members may also receive vouchers for healthy food and may also be able to receive nutrition education.

Sobering Centers

Members are provided with a short-term, safe, supportive environment in which to become sober. Sobering centers provide may provide medical triage, temporary beds, meals, substance use education, counseling and connections to other health care services.

Asthma Remediation

Members may receive physical modifications to their home to avoid acute asthma episodes due to environmental triggers such as mold. Modifications can include filtered vacuums, de-humidifiers, air filters, and ventilation.
Black and white image of a male nurse comforting an older female.

Want a better idea of how these services play out for members?
View some of our Community Support Success Stories

Want a better idea of how these services play out for members?
View some of our Community Support Success Stories

Who Provides Community Supports?

Within Titanium on the ground level, our Housing Navigators work face-to-face with our members to secure housing, financial resources, and to make sure they retain tenancy in a stable and safe place. Housing Navigators are managed by our Community Supports Managers and our Community Supports Senior Manager oversees the program, connecting with different health plans, building community partners, and working on large-scale projects.

Our Community Supports leaders

Image of our community Support leader, Victoria Shrewsberry

Victoria Shrewsberry

Community Support Director 

Image of our Community Support leader Cynthia Perez

Cynthia Perez

Community Supports Manager

Image of our Community Support leader Rene Munoz Guillen

Rene Munoz Guillen

Community Supports Manager

Success Stories

Rebuilding with Resilience

Martha* is a 62-year-old San Franciscan whose apartment was destroyed in a fire at the beginning of 2022. She suffers from multiple mental health disorders and though she had been applying for housing diligently throughout the city, the weight of not having a stable home was making her condition worse. Soon after teaming up with our Housing Navigator, she was ecstatic to hear she had been accepted into a seniors apartment complex. Our housing navigator facilitates the help of her health plan, Anthem, to assist with her security deposit and first and last month’s rent as part of the Community Supports Program. We’re proud to report that everything went smoothly and Martha is happy in her new home!

Black and White image of an older man holding a cup of coffee.

A Veteran’s Victory

Matthew* is a 63-year-old widowed Navy Veteran who’s had a tough year; since the passing of his wife he has been evicted from his home for getting behind on rental payments due to losing his Supplemental Security Income (SSI), which had forced him to live in a trailer park in the El Cajon area.

Since being put in contact with us, we’ve connected him to free legal assistance which pushed back the date he was to be locked out of his home, and we’ve also secured him temporary housing at a group home for veterans as well as a rental voucher from the Veteran Affairs Supportive Housing program which he will put towards the new apartment he is currently on the hunt for. Mattew has continually expressed his gratitude for our assistance and is optimistic that he will find a new place.

Settling In

Jack*, a 5-year-old child with autism, and his mother were recently evicted. They struggled to find housing for weeks until finally coming across a rental that fit their budget and needs—we stepped in to secure a security deposit for them despite health plans and case managers changing throughout the process. Communication with Jack’s mother as well as the previous case manager was key for the success of securing the deposit and we’re happy to report that they are settled into their new apartment and plan to stay there long-term.

*Members’ names and photos have been changed to protect their privacy.

Rebuilding with Resilience

Martha* is a 62-year-old San Franciscan whose apartment was destroyed in a fire at the beginning of 2022. She suffers from multiple mental health disorders and though she had been applying for housing diligently throughout the city, the weight of not having a stable home was making her condition worse. Soon after teaming up with our Housing Navigator, she was ecstatic to hear she had been accepted into a seniors apartment complex. Our housing navigator facilitates the help of her health plan, Anthem, to assist with her security deposit and first and last month’s rent as part of the Community Supports Program. We’re proud to report that everything went smoothly and Martha is happy in her new home!

A Veteran’s Victory

Matthew* is a 63-year-old widowed Navy Veteran who’s had a tough year; since the passing of his wife he has been evicted from his home for getting behind on rental payments due to losing his Supplemental Security Income (SSI), which had forced him to live in a trailer park in the El Cajon area.

Since being put in contact with us, we’ve connected him to free legal assistance which pushed back the date he was to be locked out of his home, and we’ve also secured him temporary housing at a group home for veterans as well as a rental voucher from the Veteran Affairs Supportive Housing program which he will put towards the new apartment he is currently on the hunt for. Mattew has continually expressed his gratitude for our assistance and is optimistic that he will find a new place.

Settling In

Jack*, a 5-year-old child with autism, and his mother were recently evicted. They struggled to find housing for weeks until finally coming across a rental that fit their budget and needs—we stepped in to secure a security deposit for them despite health plans and case managers changing throughout the process. Communication with Jack’s mother as well as the previous case manager was key for the success of securing the deposit and we’re happy to report that they are settled into their new apartment and plan to stay there long-term.

*Members’ names and photos have been changed to protect their privacy.

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Titanium Healthcare Inc./Sterling Hospitalist Medical Group.
12566 Valley View Street Garden Grove, CA 92845

© Titanium Healthcare® Inc. | All Rights Reserved.

© Titanium Healthcare® Inc. | All Rights Reserved.