Healthy Connect San Diego
  Contact:
Mary Wheeler, MFT Program Director
 
  Location:
1202 Morena Blvd
San Diego, CA 92110
 
Phone:
(619) 507-9333

Toll Free:
(833) 573-0376
  FAX:
(619) 467-4595
 
Healthy Connect San Diego

Healthy Connect was developed out of a state initiative called the Health Homes Program (HHP) and is designed to serve eligible Medi-Cal beneficiaries with complex medical needs and chronic conditions who may benefit from enhanced care managem​ent and coordination. CRF partners with local managed care organizations to bring you these services. 

Program Description

Our mission is to provide extensive support to our members in order to remove the barriers of accessing the system of care. 

Health Homes programs provide six core services:

  • Comprehensive care management
  • Care coordination (physical health, behavioral health, community-based Long Term Services & Supports (LTSS))
  • Health promotion
  • Comprehensive transitional care
  • Individual and family support
  • Referral to community and social support services, including housing

These services may include:

  • Making a plan to get members necessary care
  • Finding doctors and specialists, getting referrals approved, and making appointments
  • Scheduling translators and free transportation
  • Assisting with medication management and delivery
  • Keeping all of your doctors updated about your health needs and wishes
  • Connecting members to community and necessary social services

Hours of Operation

Monday through Friday 9:00 A.M - 5:00 P.M

Enrollment Criteria

Individuals must meet the following criteria to be evaluated for admission:

  • Age 18+
  • Reside in the Central or East Region of San Diego
  • Active enrollment in Managed Medi-Cal (with Blue Shield Promise or Molina Health Care)
  • Meet at least one Chronic Condition Criteria
    • At least two of: COPD, Diabetes, TBI, Chronic or Congestive Heart Failure, Coronary Artery Disease, Chronic Liver Disease, Chronic Kidney Disease, Dementia, or Substance Use Disorders
    • Hypertension and one of the following: COPD, Diabetes, Coronary Artery Disease, or Chronic or Congestive Heart Failure
    • One of the following: Major Depressive Disorder, Bipolar Disorder, or Psychotic Disorders (including Schizophrenia)
    • Asthma
  • AND meet at least one Acuity / Complexity Criteria
    • Has three or more of the HHP eligible chronic conditions
    • Has stayed in the hospital at least once in the past year
    • Has visited the Emergency Room at least three times in the past year
    • Experiencing Chronic Homelessness
  • Does not participate in any of the following 1915(c) Home and Community Based (HCBS) waiver programs: HIV/AIDS, Assisted Living Waiver (ALW), Developmentally Disabled (DD), In-Home Operations (IHO), Multipurpose Senior Services Program (MSSP), Nursing Facility Acute Hospital (NF/AH), Pediatric Palliative Care (PPC)
  • Not currently enrolled in County Targeted Case Management (TCM) (excluding Specialty Mental Health TCM)
  • Not currently a Skilled Nursing Facility (SNF) or Hospice resident; Cal MediConnect members.

Referral Process

Referrals may be initiated by contacting Healthy Connect at (619) 507-9333 or calling our toll free number at (833) 573-0376. 

Fees and Funding

Healthy Connect San Diego is funded through partnerships with managed care organizations and the State of California.  There is no cost or copayments for participants.