Santa Clara Family Health Plan
Published on Santa Clara Family Health Plan (https://www.scfhp.com)


Santa Clara Family Health Plan is a participating health plan in California’s new Coordinated Care Initiative (CCI), with the goal of providing long-term services and supports (LTSS) in a coordinated manner. To do this, LTSS benefits will be managed by Medi-Cal managed care plans beginning July 1, 2014. For beneficiaries with both Medicare and Medi-Cal, their LTSS benefits will be part of new Cal MediConnect plans starting January 1, 2015. LTSS includes a range of home and community-based services that support people living independently in the community, as well as services provided in a nursing facility.

The CA Department of Health Care Services (DHCS) requires all Primary Care Providers (PCPs) who treat patients covered by Medi-Cal managed care plans to complete training on Long-Term Services and Supports. Click here to go to the LTSS training module.

An example of a potential LTSS member is a patient with multiple chronic conditions and functional limitations that make it hard to live independently and safely at home without assistance. Long-term services and supports for this member may include:

  • Nursing care in the home
  • Personal care (help with dressing, bathing, grooming or feeding)
  • Help preparing or receiving meals, grocery shopping
  • Housekeeping
  • Case management, including linkage to resources
  • Community day health care with physical therapy, occupational therapy, socialization, nutritionist
  • Transportation services
No-Modal

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FREQUENTLY USED LINKS

Provider Training [1]

LTSS Training [2]

Find a Doctor [3]

Medi-Cal Evidence of Coverage [4]

Medi-Cal Provider Directory [5]

Long-Term Care Authorization Form [6]

Long- Term Care Authorization Form FAQs  [7]

Long-Term Care Discharge Notification Form [8]

Long-Term Care Discharge Notification Form FAQs  [9]

Bed Hold Authorization Request Form [10]

Bed Hold Authorization Request Form FAQs  [11]

INTERACT Implementation Checklist [12]

Council on Accreditation [13]

Centre for Modeling Human Disease [14]

IMPORTANT NUMBERS
PROVIDER SERVICES
1-408-874-1788
PHARMACY
1-408-874-1796

Source URL: https://www.scfhp.com/for-providers/long-term-services-and-supports

Links
[1] https://www.scfhp.com/for-providers/provider-resources/provider-training
[2] https://www.scfhp.com/for-providers/provider-resources/provider-training/ltss-training
[3] https://www.scfhp.com/for-members/find-a-doctor
[4] https://www.scfhp.com/sites/default/files/mc_eoc_en.pdf
[5] https://www.scfhp.com/sites/default/files/mcproviderdirectory.pdf
[6] https://www.scfhp.com/sites/default/files/ltcnotification.pdf
[7] https://www.scfhp.com/sites/default/files/LTCauthformFAQs.pdf
[8] https://www.scfhp.com/sites/default/files/ltcdischargenotif.pdf
[9] https://www.scfhp.com/sites/default/files/ltc_dischargenotification_faq.pdf
[10] https://www.scfhp.com/sites/default/files/dischargenotif_bedholdauthreq.pdf
[11] https://www.scfhp.com/sites/default/files/bedholdauthorizationrequestform_faq.pdf
[12] https://www.scfhp.com/sites/default/files/INTERACT_ImplementationChecklist.pdf
[13] http://coanet.org/home/
[14] http://www.cmhd.ca/