Encompass and the Central California Alliance for Health (CCAH) have joined forces to launch Links2Health. This program provides enhanced health services to Medi-Cal recipients in Santa Cruz County. It is designed to serve those dealing with complex medical conditions or housing challenges, to help these community members reach their health and housing goals.
Services Offered
Social work case management including:
- Assignment of an Encompass social worker to assess the needs of the client and the client's family
- Arrange, coordinate, monitor, and advocate for health care and housing services to meet the client's complex needs
- Ongoing monitoring of the client's progress including making sure they attend medical appointments and take the prescribed medication
Eligibility
Clients must be age 18+, live in Santa Cruz County, and have Medi-Cal in order to be considered for the program.
Eligible populations include:
- Adults or families experiencing homelessness
- Adults with Serious Mental Illness (SMI) or Substance Use Disorder (SUD)
- Adult high utilizers of the healthcare system (multiple hospitalizations)
- Adults at risk for long-term care at a nursing facility or other rehabilitation center
- Adult Nursing Facility residents transitioning to the community
- Adults with an intellectual/Developmental disability
- Pregnant and Post Partum individuals including Birth Equity Population of Focus
- Adults transitioning from incarceration
If you are interested in accessing Links2Health services and believe you are eligible, please download and fill out this Referral_Form-Links2Health.docx and send it to [email protected].
Community partners can also refer Medi-Cal beneficiaries through the Unite Us platform. Be sure to include the following in the notes section:
- The client's Central California Alliance for Health number (if available)
- A brief note about why they need services
Fees
None