Programs and Services for Older Adults, Caregivers, and Individuals with Complex Needs
Finding the right care and support can be challenging.
For more than 28 years, Partners has helped older adults, caregivers, and individuals with complex care needs connect to programs and services that support recovery, strengthen independence, and improve quality of life.
Many of the factors that affect health happen outside of
medical care, such as transportation, meals, caregiver
support, home safety, care coordination, and community
resources can all play an important role in helping individuals remain healthy, independent, and safely supported at home and in their communities.
The programs below serve different populations and have different eligibility requirements. Some programs may require health plan approval, provider referral, Medi-Cal eligibility, or other qualifications. Each section includes information about who may qualify, available services, and how to get started.
Real Stories. Real Impact
Behind every program is a person, a family, and a story.
Explore Programs and Services
Care Coordination & Support Services
Programs that provide care coordination, Long-Term Services & Supports (LTSS), and community-based services that help eligible individuals access the care, support, and resources needed to remain healthy, independent, and safely supported in their communities.
- Enhanced Care Management (ECM) & Community Supports
- Community-Based Adult Services (CBAS)
- Home and Community-Based Alternatives (HCBA) Waiver
- Multipurpose Senior Services Program (MSSP)
Recovery & In-Home Support Services
Programs that help individuals recover after hospitalization, remain safely at home, and receive support with daily activities.
- Care Transitions
- Private Duty Services
- HUD Older Adult Home Modification Program
Wellness & Healthy Aging Programs
Workshops that help older adults stay healthy, active, and independent
Enhanced Care Management (ECM) & Community Supports
Helping Individuals with Complex Care Needs Access Care, Services, and Support
Enhanced Care Management (ECM) is a Medi-Cal benefit that provides personalized care coordination for individuals with complex care needs.
ECM helps individuals navigate healthcare and community-based services, connect to available resources, and access support that can improve health, stability, and quality of life. Care managers work closely with individuals to understand their needs, coordinate services, and help address challenges that may make it difficult to access care or remain healthy and independent.
Community Supports may also be available to help address everyday needs that affect health and well-being, such as;
- Housing
- Meals
- Transportation
- And Other Supportive Services
Who May Qualify?
Enhanced Care Management (ECM) is a Medi-Cal benefit for individuals of all ages who need extra support managing their health and navigating care.
You may qualify if you are dealing with one or more of the following:
- Frequent visits to the emergency room or hospital
- Homelessness or unstable housing
- Ongoing or multiple health conditions
- Difficulty managing appointments, medications, or services
- Recent discharge from a hospital, nursing facility, or other care setting
- Pregnancy or the postpartum period and need additional support
- Behavioral health or substance use challenges
- Complex needs as a child or youth
ECM is designed to provide whole-person support, helping individuals stay connected to care, stabilize their health, and live more safely and independently in their homes and communities.
How Do I Access ECM?
ECM eligibility is determined by Medi-Cal managed care plans.
If you think you may benefit from ECM services, contact your Medi-Cal health plan, healthcare provider, or care manager to learn more about available services and eligibility requirements.
If you are not sure where to start, Partners can help connect you to the appropriate resources and provide information about available programs.
Community-Based Adult Services (CBAS)
Community-Based Adult Services (CBAS) is a Medi-Cal benefit that provides daytime health, therapy, and support services to adults (18 and older) who need help due to ongoing health conditions, disabilities, or complex care needs.
CBAS can help individuals maintain their health, remain independent, and continue living in their homes and communities while receiving services designed to support their physical, emotional, and social well-being.
200+
CBAS Centers
Supported Statewide
Community-Based Adult Services (CBAS)
Support Services in a Community Setting
Our experienced registered nurses conduct assessments at CBAS centers,
hospitals, skilled nursing facilities, and, when appropriate, in an individual’s
home, supporting participants throughout their CBAS journey, from initial
eligibility assessments and reassessments to ongoing program requirements.
Services May Include
- Nursing services and health monitoring
- Physical, occupational, and speech therapy
- Mental health and social services
- Nutrition services and healthy meals
- Personal care assistance
- Health education and wellness activities
- Recreational activities
Who May Qualify?
CBAS may be available to individuals who:
- Have Medi-Cal coverage
- Are age 18 or older
- Have ongoing health, functional, or cognitive needs that require ongoing support and monitoring
- Would benefit from health and support services provided in a community-based setting
Eligibility is determined through a CBAS assessment and authorization process.
How Do I Get Started?
Referrals may be made by healthcare providers, health plans, hospitals, caregivers, family members, or individuals seeking services. If you think you may qualify for CBAS, contact your healthcare provider or health plan to learn more about available services and the eligibility process.
If you are not sure where to start, Partners can help connect you to the appropriate resources and provide information about available programs.
Home and Community-Based Alternatives (HCBA) Waiver (LTSS)
An Alternative to Nursing Facility Care for Medi-Cal Members of All Ages
The Home and Community-Based Alternatives (HCBA) Waiver is a Medi-Cal program that helps eligible individuals with complex care needs receive care and services at home instead of in a nursing facility or other institutional setting.
Partners helps individuals and caregivers navigate the HCBA Waiver application process, coordinate services, and access support that promotes independence, improves quality of life, and helps individuals remain safely supported in their homes and communities.
Services May Include
Depending on individual needs and eligibility, HCBA Waiver services may include:
- Care Coordination
- Community Transition Services
- In-Home Support Services
- Medical Equipment & Supplies
- Respite Services
- Other home- and community-based services authorized through the HCBA Waiver
Who May Qualify?
The HCBA Waiver may be available to individuals of all ages, including children, adults, and older adults, who:
- Have Medi-Cal coverage
- Have complex care needs requiring ongoing support
- Meet a nursing facility level of care requirement
- Can live safely at home with appropriate services and support
Additional eligibility requirements apply and are determined through the HCBA Waiver enrollment process.
Waiver Agency for Los Angeles County
Partners is a California Department of Health Care Services (DHCS)-approved HCBA Waiver Agency. Waiver Agencies coordinate care for HCBA participants and help arrange services that support individuals living safely in their homes. Each Waiver Agency serves specific ZIP codes assigned by DHCS.
View Partners HCBA Service Area ZIP Codes
Find HCBA Waiver Agencies Across California Home and Community Based (HCB) Alternatives Waiver
HCBA Fax Number: 818-979-2341
For the California Department of Health Care Services Non-Discrimination Policy and Language Access, please use this link.
Important Information for New Applicants
New applicants to the HCBA Waiver should be aware that the program has reached maximum capacity and a waiting list has been implemented effective July 12, 2023.
New applicants are encouraged to apply and secure a placement on the
waiting list with the assigned Waiver Agency in their area of residence.
When a slot becomes available, applicants on the waiting list who meet Reserve Capacity criteria will be prioritized for intake processing.
Reserve Capacity criteria includes:
- Applicants transitioning from similar Home and Community Based Services (HCBS) Waivers because their needs can no longer be met
- Applicants under 21 years of age
- Applicants who have been residing in a health care facility for at least 60 days at the time the HCBA Waiver application is submitted
Complete applications submitted to DHCS for enrollment review prior to July 12, 2023 will continue to be processed with priority given to Reserve Capacity eligible applicants.
DHCS is currently taking steps necessary to request an increase in waiver capacity as soon as possible.
Multipurpose Senior Services Program
Multipurpose Senior Services Program (MSSP)
Care Management for Medi-Cal Members Age 60 and Older
The Multipurpose Senior Services Program (MSSP) is a Medi-Cal Home and Community-Based Services Waiver program administered by the California Department of Aging (CDA). MSSP helps eligible older adults remain safely in their homes and communities instead of moving into a nursing facility.
Partners’ MSSP serves adults age 60 and older who have Medi-Cal and need support with health conditions, daily activities, or other challenges that may make it difficult to live independently.
Our team of nurses and social workers work closely with participants to understand their needs, develop a personalized plan, connect them to services and resources, and help them remain healthy, independent, and safely supported at home.
Partners is accredited by the National Committee for Quality Assurance (NCQA) for Case Management for Long-Term Services & Supports, reflecting our commitment to high-quality care and service.
Frequently Asked Questions (FAQ)
View our FAQ guide for answers to common questions about MSSP.
Refer Someone to MSSP
If you would like to learn more about MSSP or refer yourself or someone who may benefit from services, please complete the MSSP Referral Form. Referrals may be submitted by:
- Individuals seeking services
- Healthcare providers
- Health plans
- Family members and caregivers
- Hospitals and discharge planners
- Community organizations
Our team will review your submission and follow up regarding eligibility and next steps.
Important Information About Enrollment
MSSP is a waiver program with a limited number of openings set by the State.
Not sure where to start? Complete our Contact Us form and a member of our team will help connect you to available resources and provide information about programs that may be right for you.
Care Transitions
Going home after a hospital stay can be challenging. Understanding what to do next, keeping track of appointments, managing medications, and getting the support you need can feel overwhelming.
Partners’ Care Transitions program helps individuals recover safely after leaving the hospital. Our team works closely with individuals, caregivers, and healthcare providers to help people understand their care plan, follow up with their doctors, and connect to services that support recovery.
How We Help
Depending on individual needs, support may include:
- Understanding discharge instructions
- Scheduling follow-up appointments
- Support with medications and care plans
- Connection to community resources and support services
- Help addressing challenges that may affect recovery
- Follow-up support after returning home
Who May Receive Care Transitions Support?
Care Transitions services are available through participating hospitals, healthcare organizations, health plans, and provider groups.
Individuals are typically referred after a hospital stay or other healthcare transition when additional support may help with recovery and follow-up care.
What Happens Next?
If you are referred to the Care Transitions program, a member of our team will contact you to discuss your needs, answer questions, and help connect you to services and support.
If you have questions about Care Transitions, please contact us.
Private Duty
Personalized In-Home Support That Promotes Independence, Safety, and Caregiver Well-Being
Private Duty Services provide in-home support for eligible individuals who need help with everyday activities to remain safely at home.
Available through CalAIM Community Supports for eligible health plan members, these services can help individuals stay independent, recover after illness or hospitalization, and continue living safely in their homes and communities. Private Duty Services can also provide relief and support for family caregivers.
Available Services
Depending on individual needs and health plan approval, services may include:
Personal Care Services
Hands-on assistance with everyday activities that support health, safety, and independence. Services may include help with:
- Bathing
- Dressing
- Grooming and personal hygiene
- Mobility and transfers
- Eating and feeding assistance
- Medication reminders
Homemaker Services
Support that helps individuals maintain a safe, clean, and comfortable home environment. Services may include help with:
- Meal preparation
- Laundry
- Light housekeeping
- Grocery shopping and essential errands
- Other household tasks that support daily living
Caregiver Respite Services
Temporary support that allows family caregivers time to rest, manage personal responsibilities, or attend to other needs while ensuring their loved one continues to receive care and supervision.
Respite services can help reduce caregiver stress, prevent burnout, and provide peace of mind for families.
Who May Qualify?
Private Duty Services may be available to individuals who:
- Need help with everyday activities to remain safely at home
- Have a health condition or physical challenges that make daily tasks difficult
- Are enrolled in a participating health plan that offers Private Duty Services through CalAIM Community Supports
Contact Us
Private Duty Services are generally accessed through participating health plans and healthcare providers. If you think you or someone you care about may benefit from Private Duty Services, contact your health plan, healthcare provider, or care manager to learn more about available services and eligibility requirements.
Not sure where to start? Complete our Contact Us form and a member of our team can help connect you to available resources.
HUD Older Adults Home Modification Program- Los Angeles County
Home Safety Improvements for Income Eligible Adults Age 62 and Older
No Cost to Eligible Participants
The HUD Older Adults Home Modification Program helps eligible adults age 62 and older remain safe and independent at home.
Through this program, we assess your home and provide safety improvements designed to reduce fall risks and make everyday activities easier. These modifications can help improve accessibility, increase confidence, and support independent living.
Who May Qualify
To receive HUD Older Adults Home Modification Program services, you must:
- Be age 62 or older
- Have a household income at or below 80% of Area Median Income (AMI), as defined by HUD
- Need home modifications to improve safety and independence
- Live in Los Angeles County
- Own or rent the primary residence where modifications will be made
Household income limits are determined by the U.S. Department of Housing and Urban Development (HUD) and are based on the number of people living in the home. In some cases, older adults living with family members may qualify based on their own income if they are not claimed as a dependent for tax purposes.
Examples of home modifications may include:
- Installing grab bars or handrails
- Handheld shower head
- Non-slip strips for tubs, showers, or stairs
- Temporary ramps, non-permanent graded ground ramps, or stair railings
- Lever-handled doorknobs and faucets
- Tub cuts
- Improved lighting
The goal is to reduce fall risk, increase accessibility, and help you remain safely in your home for as long as possible.
Submit an Interest Form
Complete the HUD Older Adults Home Modification Program Request Form to get started.
Questions? Call us at (818) 403-5452 to learn more about the program and eligibility requirements.
After submitting the form, we will contact you with next steps and information about any required documents
2026 Income Limits (80% of Area Median Income for Los Angeles County)
Please note: Income limits are updated annually. 2026 Income Limits Dataset | Summary
What to Expect
Once an interest form is submitted, our team will guide eligible participants through a structured process designed to identify safety needs and implement home modifications that support aging in place.
1. Survey & Assessment
Submit your interest form and our team will contact you to review eligibility and answer any questions.
2. Home Assessment
If you qualify, an Occupational Therapist or Certified Aging-in-Place Specialist will visit your home to identify safety concerns and recommend improvements.
3. Home Modification Plan
Based on the assessment, we will create a plan that outlines recommended home modifications to improve safety and accessibility.
4. Installation
Licensed contractors will complete the approved home modifications.
5. Final Visit
After the work is completed, we will return to ensure the work was completed properly and that the home modifications are supporting your safety and independence.