Coordinating services through Whole Person Care
Through a designated Care Coordinator, Whole Person Care helps patients get services they need to improve overall wellness. Services may include:
- Substance abuse services, behavioral health services, transportation support, food, and nutrition services - including CalFresh, and temporary and/or subsidized housing;
- Wellness and health promotion activities to support disease prevention and chronic care management;
- Access to skilled nursing facilities for patients with complex medical and/or psychiatric needs;
- Medical respite care services for patients without appropriate home care;
- Blackbird House peer respite for those experiencing a mental health crisis; and,
- Mission Street Sobering Center services as an alternative to custody or emergency services for inebriated participants.
Patients must have active Medi-Cal or be eligible for Medi-Cal to enroll in Whole Person Care. There are a few Medi-Cal programs that are excluded from WPC eligibility. Patients with restricted Medi-Cal are excluded from WPC.
In HealthLink, eligible patients are identified in the header of their medical record.
Eligible patients include those who are:
- Medi-Cal recipients (or Medi-Cal eligible) who are 18 years or older, and
- High Utilizers of Multiple System (HUMS) score of 7 or above (scores for emergency services and inpatient hospital days).
What are the next steps?
To refer a patient or to enroll in Whole Person Care, please contact:
Santa Clara Valley Medical Center
Valley Health Center Tully
Valley Health Center Gilroy
Valley Health Center Moorpark
John Rex Rubina
Valley Homeless Health Program (VHHP)
Valley Health Center Milpitas
Valley Health Center Downtown