Care Management
Care Management to Help Elderly Adults and Children and Adults with Disabilities Remain at Home
Care management programs provide social and health care management services created to delay older adults and children and adults with disabilities from having to go into nursing homes or care facilities. Care Managers help their clients get needed services from community resources while working with their families and support systems. Programs reduce costs and enable clients to keep living in their homes and enjoy a higher quality of life. Programs include the Multipurpose Senior Services Program (MSSP) and the Home and Community-Based Alternatives (HCBA) Program.
Care Management Services
Registered Nurses (RNs) and Social Workers provide care management services to clients and their families. Some services include:
» Making a full review of the client’s and family’s needs
» Creating a Care Plan with the client to meet his or her needs through family and community resources
» Checking in with clients monthly, in person or over the telephone
» Purchasing services and/or items that are not available through family and community resources
» Connecting the client to services that meet the Care Plan goals
» Reviewing the client’s needs regularly to track the progress of services
» Helping the client keep services and find new ones
MSSP Care Managers coordinate a wide range of services based on the client’s needs:
» Community-Based Adult Services (formerly Adult Day Health Care)
» Medical Equipment (Walkers, Canes, Grab Bars, Wheelchairs, Hospital Beds, Bath Chairs, etc.)
» Non-medical Equipment (Medical Alert Systems, Ramps, Heaters, Fans, etc.)
» Supplemental Personal Care, Homemaker Chore Services, Caregiver Relief
» Transportation
» Minor Home Repairs
» Counseling for Mental and/or Medical Issues
To qualify for MSSP, you must:
» Be 65 years of age or older
» Live in Ventura County
» Have a possible need for nursing home care
» Be on Medi-Cal
Client MSSP Referral Form
» MSSP Referral Form
Home and Community-Based Alternatives (HCBA) Program
The Home and Community-Based Alternatives (HCBA) Program supports individuals, who are at immediate risk of being placed in a long-term, in-patient facility, remain or return to their home. HCBA provides home-based services including ongoing care management, referrals, and personal care services to individuals on Medi-Cal with no share of cost who need regular monitoring.
To qualify for HCBA, you must:
» Live in Ventura County
» If not for services, require placement in a medical care facility
» Need services or monthly monitoring to remain safe
» Be on Medi-Cal
HCBA Client Referral Form
» HCBA Application Form
» HCBA Application Form (SPANISH)
Specialized Case Management for Persons with Alzheimer’s Disease or Related Dementia (ADRD)
The Specialized Case Management for Persons with Alzheimer’s Disease or Related Dementia Program aims to prevent premature or inappropriate institutionalization of adults who live alone and have Alzheimer’s Disease or Related Dementia (ADRD) or adults that have an intellectual or development disability and have a diagnosis of or are at risk of developing ADRD. We do this by providing case management as well as comprehensive Information and Assistance services. The ADRD program aims to reduce costs and enable clients to keep living in their homes and enjoy a higher quality of life.
To qualify, you must:
» Live in Ventura County
» Be at risk of institutionalization
» Be able to be maintained in the community with the program
» Meet one of the following:
(1) Live alone, have Alzheimer’s Disease or Related Dementia (ADRD), and need supportive services in order to remain in the community OR
(2) Have an intellectual or developmental disability and have a diagnosis of or are likely to get Alzheimer’s Disease or Related Dementia (ADRD).
For more information on MSSP, HCBA, or ADRD, or to apply for either program, please contact Susan Guffee at (805) 477-7300 or email
Senior Support Line – (800) 235-9980
The Senior Support Line is a toll free telephone number for residents 60 and older who are living alone, feeling isolated and/or depressed, have few or no connections to family and/or friends, are at risk of losing their independence, have been recently discharged from a hospital setting or have been recently discharged from an adult day health care service that may have been impacted by funding reductions.
The Senior Support Line is operated through the Camarillo Health Care District. Clinically trained interns and volunteers staff the Senior Support Line Monday through Friday from 8 a.m. – 5 p.m.
Memory Screening
Free 15-Minute Memory Screenings are available at the VCAAA offices on the 4th Thursday of every month, 10 am – 1 pm, on a first-come, first-served basis. Call 805-477-7300 for more information.
» Memory Screening Flyer (English & Spanish)
NOTE: A memory screening is not used to diagnose any particular illness and does not replace consultation with a qualified physician or other healthcare professional.
