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Medi-Cal CHW Services

If you are a (CCAH) Central California Alliance for Health Medi-Cal Member and interested in receiving (CHW) Community Health Worker services, and you are not Currently Enrolled with another (ECM Provider) Enhanced Care Manager Provider Organization, please Click the Button below and fill out the “Onboarding Form” without adding your SSN# and we will be in touch with you ASAP. We will reply to your message within 24 hours.

Services Provided by: telephone, video conferencing, in-person, at home or outreach!

Step#1 Needs Assessment ( 17 questions asked)

Step#2 Follow-Up Session(s) (to discuss SMART Goals and Next Steps in increasing your overall health and holistic well-being.)

Services

We are sub-contracted to provide CalAIM CHW Benefit Services using the platform “Pear Suite”, which is contracted and credentialed with CCAH

Community Health Worker (CHW)

Our Community Health Services

1.Health Navigation & Resource Connection

We help community members find their way through the complex healthcare and social service systems.

  • Accessing Care: Assisting with appointments, finding specialists, and understanding medical paperwork.

  • Social Determinants of Health (SDOH): Connecting families to local food banks, housing assistance (like CHISPA, HRC,CCA,CHS), and utility support.

  • Government Benefits: Helping with enrollment and maintenance of Medi-Cal, CalFresh, and WIC.

2. Health Education & Coaching

Our CHWs provide culturally sensitive education to help you manage your health at home.

  • Chronic Disease Support: Coaching for diabetes management, heart health, and blood pressure monitoring.

  • Preventive Care: Information on the importance of cancer screenings (mammograms, colonoscopies) and immunizations.

  • Workshops: Referrals to community classes on nutrition, prenatal care, and reproductive health.

3. Individual Support & Advocacy

We act as a bridge between the community and healthcare providers to ensure every voice is heard.

  • Cultural Liaison: Serving as a "translator" for cultural nuances between patients and doctors, when we for the CHWs who are bilingual.

  • Medical Advocacy: Attending appointments with clients to ensure their concerns are addressed and understood.

  • Violence Prevention: Support for individuals experiencing domestic violence or community trauma, including connections to local safe shelters.

4. Screening & Assessment

We provide non-licensed screenings to identify needs early and prevent health issues from worsening.

  • Health Risk Assessments: Identifying "rising risk" indicators like high glucose or stress.

  • Social Needs Screening: Using tools to identify if a family is struggling with food insecurity or transportation barriers.

  • Referral Management: Directing clients to the appropriate licensed professionals based on screening results.

Type: MPSS-SEVYIT

Counties our CHWs Serve

Financial Coaching

As of April 2026 we have become partners with The United Way of Monterey County, within their “Financial Empowerment Center” at the “Community Impact Center” located at 232 Monterey Street, Salinas, California 93901!

Starting in July 2026 for people referred to us through the (SRN) Smart Referral Network we will be providing:   

  • Financial coaching for adults and families

  • Debt management and credit-building guidance

  • Workshops on budgeting and financial literacy

  • Support to overcome participation barriers (e.g, transportation guidance)

Below are the links to The United Way’s website, their 2-1-1 System, and their Smart Referral Network System!