Clear Path Care Solutions is a CalAIM Community Support (CS) Provider specializing in Skilled Nursing Facility (SNF) Diversion/Transition to Residential Care Facilities for the Elderly (RCFE) and Adult Residential Facilities (ARF) across Los Angeles, Ventura, Sacramento, San Diego, Orange, San Bernardino, and Riverside counties. We collaborate with various Managed Care Plans (MCPs) to assist in transitioning eligible members to appropriate residential care settings. For more information, please contact us for the full list of MCPs we work with.
CalAIM and the Community Support Program
For eligible members, MCPs cover the “assisted living” portion of RCFE/ARF care based on a tiered care level assessment. The member is responsible for paying the “room and board” portion, typically funded through SSI/SSD income (see Additional Eligibility Requirements below).
CalAIM CS Referral Process
To begin the process of transitioning a member, we have developed a CalAIM CS Referral Package, which is submitted to the MCP’s authorization request department. Once the member is authorized, Clear Path Care Solutions will initiate the referral process and help facilitate placements in RCFEs/ARFs for eligible members.
SNF Transition to RCFE or ARF (This allows a current SNF resident to transition to an RCFE or ARF.)
SNF Diversion to RCFE or ARF (This helps a member who would otherwise need to reside in a SNF and transitions them to an RCFE or ARF.)
Once a member is referred, Clear Path Care Solutions will submit the CS Referral Package to the MCP’s authorization department. Authorization requests typically take 5-7 business days for approval or denial. If authorized, we will inform the member or responsible party and proceed with the referral process to connect the member with potential RCFEs/ARFs.
Clear Path Care Solutions Combined Package Click Here
CalAIM Participant Liability Waiver Click Here
CS Referral Package Member Summary Click Here
Declaration Elibility Click Here
Freedom of Choice Waiver Click Here
HIPAA AUTHORIZATION FORM Click Here
Room and Board Payment Obligation Click Here
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