Community Supports:
Closing the gap
in home care for
Medi-Cal members
Care built on trust
Our Agency With Choice model connects families with trusted caregivers across all 58 California counties, in partnership with community partners and health plans.
Care powered by choice
Choose a caregiver you already know and trust, like a friend, family member, or neighbor.
True member advocacy
As an extension of the community partners, we coordinate services to ensure members get support quickly.
Faster, more sustainable care
When care starts with someone familiar, services begin faster and support lasts longer.
How we help: Personal Care & Homemaker and Respite services
How to start family-selected care
Submit a referral
Whether you’re a social worker, case manager, or health plan, getting started begins with completing a simple referral form.
Confirm eligibility
Our team works directly with the member’s family and the health plan to verify eligibility and get authorization.
Care starts
Our team will reach out to onboard your chosen caregiver so they can start providing care, log hours, and get paid.
What our members are saying
Read how the power of choosing a trusted, familiar caregiver has made a difference in the lives of our members and their families
Frequently asked questions
Is there a cost to members or their families?
There is no cost to eligible Medi-Cal members or their families. Services are funded through CalAIM Community Supports as part of the member’s Medi-Cal managed care benefit.
We work directly with the health plan to secure authorization, manage billing, and onboard and pay the family’s chosen caregiver.
How to select a caregiver?
Care works best when families have a choice. Through our Agency With Choice model, members can choose someone they already know and trust — a family member, a friend, a neighbor — and we employ that person as their paid caregiver.
What is CalAIM Community Supports?
CalAIM is California’s initiative to expand Medi-Cal beyond traditional medical care to include services that help people stay safely at home. Community Supports is one piece of the initiative that funds non-medical, in-home services like personal care, homemaker and respite care for eligible Medi-Cal members at no cost.
What's the difference between Community Supports and IHSS?
IHSS and Community Supports are separate programs, but they’re designed to work alongside each other. IHSS is administered by the county and funds a caregiver directly through the state. Community Supports is funded through the member’s Medi-Cal managed care plan and care is provided by 24 Hour Home Care.
If your loved one already has IHSS, Community Supports can fill the gaps.
- Care needed while awaiting IHSS approval
- Additional care hours if maxed out by IHSS
- Support during a reassessment period
- Up to 60 days of short-term care to avoid skilled nursing placement (no IHSS connection required)
- Caregiver respite
How quickly can care start after a referral is submitted?
It depends on the health plan. Here are tips to get care started faster:
- Submit your referral ASAP.
- Include any clinical documentation to support member’s care needs.
- We must connect with the member’s family before we connect with the health plan. Look out for a call and text from our team.
Which Managed Medi-Cal health plans do you work with?
24 Hour Home Care is contracted with 24 Medi-Cal managed care plans across all 58 California counties to provide these services across the entire state.
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