Day Habilitation referral and initial assessment
Form and process for referring Medi-Cal members to Day Habilitation programs that assist with self-help, socialization, and adaptive skills; used by Community Supports providers and applicable to Medi-Cal enrollees in the payer's service area.
No material clinical or coverage changes in this revision.
Eligibility and Coverage Criteria
Eligibility criteria
Covered when the member meets ONE of the following housing-related criteria:
ANY of the following
- Experiencing homelessness.
- Exited homelessness and entered housing in the last 24 months.
- At risk of homelessness or institutionalization whose housing stability could be improved through participation in a Day Habilitation Program. Note: 'experiencing or at risk of homelessness' is based on HUD definitions with three modifications as detailed in Appendix C in the CS Policy Guide Volume 2.
Provider Identification and Service Frequency
| Tax identification (ID) | Provider identifiers requested: Tax ID |
| National Provider Identifier (NPI) | Provider identifiers requested: NPI |
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