Transparent Coverage & CalAIM Community Supports Integration
Learn how IJL Homes partners with Medi-Cal Managed Care Plans, hospital health systems, and county agencies under CalAIM (HCPCS H0043 / T2038) for seamless post-acute coverage.
$0 Out-of-Pocket Cost for Eligible Medi-Cal Beneficiaries
Under California’s CalAIM initiative, Medical Respite / Recuperative Care is an authorized Community Supports service. Eligible individuals recovering from an acute illness or injury receive comprehensive residential accommodation, 24/7 non-acute clinical oversight, meals, and housing navigation funded directly by their Medi-Cal Managed Care Plan.
Comprehensive residential bed stay, 24/7 care monitoring, meals, and care coordination. (Per Day (14–90 Days))
Enhanced Care Management (ECM) linkage, housing navigation, and aftercare follow-up. (Per Encounter / Monthly)
Participating Health Plans & Contract Options
We contract with California Medi-Cal Managed Care Plans, regional hospital networks, and public healthcare agencies.
L.A. Care Health Plan
Direct CalAIM Community Supports provider for Medi-Cal Managed Care members.
- 14–90 Days Recuperative Care
- ECM Integration
- Post-Discharge Housing Supports
Health Net California
Contracted Community Supports partner for Medi-Cal recuperative care.
- 24/7 Clinical Monitoring
- Medically Tailored Meals
- Transportation Support
Inland Empire Health Plan (IEHP)
Authorized medical respite provider for IEHP Medi-Cal beneficiaries.
- Wound Management
- Chronic Disease Care
- Housing Tenancy Transition
Molina Healthcare
Approved recuperative care services under California Department of Health Care Services.
- Post-Acute Convalescence
- Medication Reconciliation
- Case Management
Hospital Health Systems Direct Contracts
Custom per-diem agreements and block-bed reservations with regional health systems.
- Guaranteed Bed Availability
- 2-Hour Triage SLA
- Dedicated Hospital Liaison
The 4-Step TAR Authorization Workflow
Our dedicated billing liaison handles the entire Treatment Authorization Request (TAR) submission and concurrent review process.
Packet Submission & Verification
Hospital discharge planner or health plan care manager submits patient face sheet, clinical summary, and Medi-Cal CIN number.
CalAIM TAR Generation & Submission
Our clinical team completes and submits the CalAIM Treatment Authorization Request (TAR) directly to the member’s Managed Care Plan.
Initial Authorization Granted
Managed Care Plan approves initial recuperative care stay (typically 14 to 30 calendar days) and issues official authorization number.
Concurrent Review & Extension
Our nursing and social work team submits concurrent clinical updates detailing wound healing progress and housing milestones.
Hospital Direct Contracting & Block-Bed Reservations
For health systems seeking guaranteed post-acute discharge capacity to decompress crowded emergency departments and reduce inpatient length of stay (LOS), IJL Homes offers customized hospital contracts.
IJL Homes billing specialist coordinating CalAIM TAR authorizations and hospital single-case agreements on secure encrypted terminal.
Have Questions About CalAIM Authorization or Billing?
Our billing team will verify member eligibility, generate the TAR, and ensure full reimbursement compliance within hours.