Community Care Settings Program

Since 2014, CCSP has helped over 190 aging and disabled people transition from long-term care facilities back into their own homes. By coordinating a wide range of resources – such as housing, medical, behavioral health, social, home-health, adult day care and transportation services – CCSP empowers participants to be fully engaged community members.

HPSM’s Program Partners

HPSM partners with San Francisco’s Institute on Aging (IOA) and the housing agency Brilliant Corners to provide eligible CCSP participants with the support they need to live independently.

  1. Brilliant Corners helps people find homes that best fit their situations
  2. IOA then manages their care
  3. HPSM works with IOA to make sure members have the resources they need to remain stable and live independently as active members of the community

Eligibility

Currently, CCSP is only available on a limited basis to members who meet specific criteria and are invited to participate by HPSM or IOA. HPSM plans to roll the most successful components of CSSP out more widely in the near future. Then more older and disabled adults, and their families, can benefit as well.

CCSP Member Stories

Conrado

ConradoConrado moved into a long-term care facility after hip replacement surgery left him unable to walk. When his health improved, Conrado no longer needed round-the-clock care, so his doctor recommended him for HPSM’s Community Care Settings Pilot. Through the program, Conrado got an apartment of his own in a senior housing complex and the kind of care he needed to live independently. Read more

Rafael

RafaelAfter suffering a stroke in 2012, Rafael could not walk without a walker. Medical bills left he and his wife Zenaida struggling financially, so they lived in a rented garage. HPSM’s Community Care Settings Pilot got them a furnished apartment in a subsidized senior community that was much more affordable. The program also provided Rafael with the support he needed to recover from his stroke. Read more

Rick

RickAfter being hospitalized for sepsis and a blood clot in his leg, Rick was diagnosed with several other chronic health conditions, including diabetes, Parkinson’s disease, glaucoma, an enlarged prostate and an atrial fibrillation. After moving into a long-term care facility, Rick enrolled in HPSM’s Community Care Settings Pilot. The program got him an affordable apartment of his own and mobilized resources to support his health. Read more

CCSP in the News

Stanford University praises Community Care Settings Pilot

HPSM is proud of our Community Care Settings Pilot program (CCSP). This innovative program has helped dozens of our older members with multiple chronic conditions move from nursing facilities back into their own homes.

CCSP’s success has inspired other health advocates as well. For example, a recent article in Stanford Social Innovation Review praised CCSP for improving people’s quality of life while greatly cutting healthcare costs. Here’s an excerpt:

One example of a robust investment in housing as an alternative to institutional care is the Community Care Settings Pilot of the Health Plan of San Mateo (HPSM), a nonprofit Medicaid managed care organization (MCO) in Northern California. HPSM wanted to give low-income, disabled members living in nursing homes more options when it came to where they lived. Many members didn’t need to live in nursing homes, but did, due to system inefficiencies. The organization has so far successfully moved 124 people from nursing homes to independent housing with supportive services, where they have much more choice in terms of how they spend their time, what they eat, and so on. After leaving the nursing home, these individuals not only reported much greater life satisfaction, but also used significantly fewer health care resources. Members’ health care costs (including the portion of housing costs the MCO paid) were 50 percent lower in the six months after the move than in the previous six months, saving the health plan $2 million over that time.