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Discover Medi-Cal’s Vital Supports for Californians Experiencing or at Risk of Homelessness

California is transforming Medi-Cal to better support and meet the whole-person care needs of members experiencing, or at risk of homelessness. Medi-Cal provides members with access to new and improved services to get well-rounded care that goes beyond the doctor’s office or hospital and addresses their physical and mental health, and also social drivers of one’s health such as housing. Medi-Cal is opening the door to essential health care services for the most vulnerable populations, no matter where they live or seek care.

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Orange, CA - June 3, 2023: Partners in Hope Clothing Distribution, including food and medical help. The event provided showers, washer and dryers, and phone charges for the homeless population.
Orange, CA - June 3, 2023: Partners in Hope Clothing Distribution, including food and medical help. The event provided showers, washer and dryers, and phone charges for the homeless population.

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California is transforming Medi-Cal to better support and meet the whole-person care needs of members experiencing, or at risk of homelessness.

Medi-Cal provides members with access to new and improved services to get well-rounded care that goes beyond the doctor’s office or hospital and addresses their physical and mental health, and also social drivers of one’s health such as housing.

Medi-Cal is opening the door to essential health care services for the most vulnerable populations, no matter where they live or seek care.

Enhanced Care Management
Enhanced Care Management is a new Medi-Cal benefit that assigns a dedicated Lead Care Manager, a personal guide who helps qualified Medi-Cal members navigate all medical, dental, social, and community services such as housing navigation, housing deposits, and more.

Enhanced Care Management takes a whole-person, interdisciplinary approach to care to address clinical and non-clinical needs of members with the most complex medical and social need and serves as a safety net of care coordination for high-risk groups, including, but not limited to, individuals experiencing homelessness.

“Our unhoused population has inadequate access to shelters and experiences a lack of food and care,” said Glenn Tsang, Policy Advisor for Homelessness and Housing for the California Department of Health Care Services. “These members tend to have extensive medical and mental health needs that are difficult to address in an unstable living environment. To help address their needs, the Enhanced Care Management benefit builds consistent connections to medical care, mental health care, substance use disorder treatment, and housing stabilization services.”

Addressing Health-Related Social Needs through Community Supports

Community Supports are services or care settings, in addition to those required under the California Medicaid State Plan, that Medi-Cal managed care plans may elect to offer. The goal of Community Supports is to provide services that address a member’s health-related social needs that may be exacerbating their health condition, such as housing instability. Among the 14 services available as Community Supports services, six are specifically focused on helping unhoused members.

Many of these services empower high-risk individuals and families to live healthier lives in less restrictive settings and avoid unnecessary emergency visits and inpatient nursing facility admissions. They include services that go beyond traditional care received in a doctor’s office and may include housing deposits, housing transition and navigation services, housing tenancy and sustaining services, short-term post-hospitalization, recuperative care, and day habilitation.
Street Medicine
Street medicine is a set of health and social services developed specifically to address the unique needs and circumstances of individuals experiencing unsheltered homelessness, delivered directly to them in their own environment. The fundamental approach of street medicine is to engage people experiencing unsheltered homelessness exactly where they are and on their own terms to maximally reduce or eliminate barriers to care access and follow-through.
Medi-Cal Expansion
Starting on January 1, 2024, all eligible Californians qualify for full scope Medi-Cal coverage, regardless of immigration status.

This expansion allows even more Medi-Cal members to potentially qualify for Enhanced Care Management and Community Supports, among other services, to improve outcomes for California’s most vulnerable populations.

“By expanding Medi-Cal, we’re addressing the root causes of health disparities and providing equitable access to quality health care, leading to a healthy California for all,” said Tsang.

How Providers Support Members
Providers are vital in delivering Medi-Cal’s expanded services, ensuring the most vulnerable members receive the care they need. These providers include, but are not limited to, housing service providers, housing organizations, and other organizations that have an existing footprint consistent with Community Supports activities and in the communities they serve. Providers are essential in providing dedicated care management, ensuring seamless transitions and continuous support across various housing settings.

Street medicine providers also offer direct medical care to individuals on the streets, build trust by consistently providing compassionate services, and use comprehensive care management platforms for efficient coordination. Providers include Federally Qualified Health Centers, mobile medicine units, and many other organizations that provide care to unsheltered members living on the street.

They collaborate with community-based organizations and community support systems like schools, food banks, and housing agencies, and offer proactive support when patients transition through emergency departments, homelessness, or incarceration.

Encouragement to Seek Services
If you or someone you know is experiencing homelessness or is at risk of homelessness, Medi-Cal’s expanded services offer vital support for members enrolled in a managed care plan to improve their health and well-being.

For more information, call the state’s Medi-Cal Managed Care Office of the Ombudsman at (888) 452-8609 or email MMCDOmbudsmanOffice@dhcs.ca.gov.

In Alameda County, Medi-Cal recipients can contact:

*   Alameda Alliance for Health: 510-747-4567

*   Kaiser Permanente: 855-839-7613

In Contra Costa County, Medi-Cal recipients can contact:
*   Contra Costa Health Plan: 877-661-6230

*   Kaiser Permanente: 855-839-7613

In Marin County, Medi-Cal recipients can contact:
*   Partnership Health Plan of California: 800-863-4155

*   Kaiser Permanente: 855-839-7613

In Solano County, Medi-Cal recipients can:
*   Partnership Health Plan of California: 800-863-4155

*   Kaiser Permanente: 855-839-7613

So, if you are at risk of or experiencing homelessness in the Bay Area, your health and well-being matter. Medi-Cal’s expanded services are here to support you every step of the way.

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Activism

Books for Ghana

We effectively facilitated cross-continent community building! We met the call and provided 400 books for ASC’s students at the call of the Minister of Education. We supported the work of a new African writer whose breakout novel is an action-packed depiction of a young woman steeped in Ghanaian culture who travels to the USA for college, all the while experiencing the twists, turns, and uncertainties that life brings.

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Min. Rauna Thurston, Chief Mpuntuhene Afua Ewusiwa I
Min. Rauna Thurston, Chief Mpuntuhene Afua Ewusiwa I

By Min. Rauna Thurston, Chief Mpuntuhene Afua Ewusiwa I

My travels to Afrika began in June 2022, on a tour led by Prof. Manu Ampim, Director of the organization Advancing The Research. I was scheduled to become an ordained Minister by Wo’se Community of the Sacred African Way. It was vital that my feet touch the soil of Kemet and my spirit connect with the continent’s people before ordination.

Since 2022, I’ve made six trips to Afrika. During my travels, I became a benefactor to Abeadze State College (ASC) in Abeadze Dominase, Ghana, originally founded by Daasebre Kwebu Ewusi VII, Paramount Chief of Abeadze Traditional Area and now run by the government. The students there were having trouble with English courses, which are mandatory. The Ghanaian Minister of Education endorsed a novel written by 18-year-old female Ghanaian first-time writer, Nhyira Esaaba Essel, titled Black Queen Sceptre. The idea was that if the students had something more interesting to read, it would evoke a passion for reading; this seemed reasonable to me. Offer students something exciting and imaginative, combined with instructors committed to their success and this could work.

The challenge is how to acquire 800 books?!

I was finishing another project for ASC, so my cash was thin and I was devoid of time to apply for annual grants. I sat on my porch in West Oakland, as I often do, when I’m feeling for and connecting to my ancestors. On quiet nights, I reminisce about the neighborhood I grew up in. Across the street from my house was the house that my Godfather, Baba Dr. Wade Nobles and family lived in, which later became The Institute for the Advanced Study of Black Family Life & Culture (IASBFLC). Then, it came to me…ancestors invited me to reach out to The Association of Black Psychologists – Bay Area Chapter (ABPsi-Bay Area)! It was a long shot but worth it!

I was granted an audience with the local ABPsi Board, who ultimately approved funding for the book project with a stipulation that the Board read the book and a request to subsequently offer input as to how the book would be implemented at ASC. In this moment, my memory jet set to my first ABPsi convention around 2002, while working for IASBFLC. Returning to the present, I thought, “They like to think because it feels good, and then, they talk about what to do about what they think about.” I’m doomed.

However, I came to understand why reading the book and offering suggestions for implementation were essential. In short: ABPsi is an organization that operates from the aspirational principles of Ma’at with aims of liberating the Afrikan Mind, empowering the Afrikan character, and enlivening: illuminating the Afrikan spirit. Their request resulted in a rollout of 400 books in a pair-share system. Students checked out books in pairs, thereby reducing our bottom line to half of the original cost because we purchased 50% fewer units. This nuance promoted an environment of Ujima (collective work & responsibility) and traditional Afrikan principles of cooperation and interdependence. The student’s collaborative approach encouraged shared responsibility, not only for the physical book but for each other’s success. This concept was Dr. Lawford Goddard’s, approved by the Board, with Dr. Patricia “Karabo” Nunley at the helm.

We effectively facilitated cross-continent community building! We met the call and provided 400 books for ASC’s students at the call of the Minister of Education. We supported the work of a new African writer whose breakout novel is an action-packed depiction of a young woman steeped in Ghanaian culture who travels to the USA for college, all the while experiencing the twists, turns, and uncertainties that life brings. (A collectible novel for all ages). A proposed future phase of this collaborative project is for ASC students to exchange reflective essays on Black Queen Sceptre with ABPsi Bay Area members.

We got into good trouble. To order Black Queen Sceptre, email esselewurama14@gmail.com.

I became an ordained Minister upon returning from my initial pilgrimage to Afrika. Who would have imagined that my travels to Afrika would culminate in me becoming a citizen of Sierra Leone and recently being named a Chief Mpuntuhene under Daasebre Kwebu Ewusi VII, Paramount Chief of Abeadze Traditional Area in Ghana, where I envision continued collaborations.

Min. Rauna/Chief Mpuntuhene is a member of ABPsi Bay Area, a healing resource committed to providing the Post Newspaper readership with monthly discussions about critical issues in Black Mental Health, Wealth & Wellness. Readers are welcome to join us at our monthly chapter meetings every 3rd Saturday via Zoom and contact us at bayareaabpsi@gmail.com.

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Activism

2024 in Review: Seven Questions for Frontline Doulas

California Black Media (CBM) spoke with Frontline Doulas’ co-founder Khefri Riley. She reflected on Frontline’s accomplishments this year and the organization’s goals moving forward. 

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Khefri Riley, co-founder of Frontline Doulas. Facebook photo.

By Edward Henderson, California Black Media

Frontline Doulas provides African American families non-medical professional perinatal services at no cost.

This includes physical, emotional, informational, psychosocial and advocacy support during the pregnancy, childbirth and postpartum period. Women of all ages — with all forms of insurance — are accepted and encouraged to apply for services.

California Black Media (CBM) spoke with co-founder Khefri Riley. She reflected on Frontline’s accomplishments this year and the organization’s goals moving forward.

Responses have been edited for clarity and length.

Looking back at 2024, what stands out to you as your most important achievement and why? 

In 2024, we are humbled to have been awarded the contract for the Los Angeles County Medical Doula Hub, which means that we are charged with creating a hub of connectivity and support for generating training and helping to create the new doula workforce for the medical doula benefit that went live in California on Jan. 1, 2023.

How did your leadership and investments contribute to improving the lives of Black Californians? 

We believe that the revolution begins in the womb. What we mean by that is we have the potential and the ability to create intentional generational healing from the moment before a child was conceived, when a child was conceived, during this gestational time, and when a child is born.

And there’s a traditional saying in Indigenous communities that what we do now affects future generations going forward. So, the work that we do with birthing families, in particular Black birthing families, is to create powerful and healthy outcomes for the new generation so that we don’t have to replicate pain, fear, discrimination, or racism.

What frustrated you the most over the last year?

Working in reproductive justice often creates a heavy burden on the organization and the caregivers who deliver the services most needed to the communities. So, oftentimes, we’re advocating for those whose voices are silenced and erased, and you really have to be a warrior to stand strong and firm.

What inspired you the most over the last year?

My great-grandmother. My father was his grandmother’s midwife assistant when he was a young boy. I grew up with their medicine stories — the ways that they healed the community and were present to the community, even amidst Jim Crow.

What is one lesson you learned in 2024 that will inform your decision-making next year?

I find that you have to reach for your highest vision, and you have to stand firm in your value. You have to raise your voice, speak up and demand, and know your intrinsic value.

In a word, what is the biggest challenge Black Californians face?

Amplification. We cannot allow our voices to be silent.

What is the goal you want to achieve most in 2025?

I really would like to see a reduction in infant mortality and maternal mortality within our communities and witness this new birth worker force be supported and integrated into systems. So, that way, we fulfill our goal of healthy, unlimited birth in the Black community and indeed in all birthing communities in Los Angeles and California.

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Activism

U.S. House Minority Leader Hakeem Jeffries Speaks on Democracy at Commonwealth Club

Based on his first speech as House minority leader, “The ABCs of Democracy” by Grand Central Publishing is an illustrated children’s book for people of all ages. Each letter contrasts what democracy is and isn’t, as in: “American Values over Autocracy”, “Benevolence over Bigotry” and “The Constitution over the Cult.”

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: House Minority Leader Hakeem Jeffries at the Commonwealth Club World Affairs Council on Dec. 2. Photo by Johnnie Burrell. Book cover: "The ABCs of Democracy" by Hakeem Jeffries.
: House Minority Leader Hakeem Jeffries at the Commonwealth Club World Affairs Council on Dec. 2. Photo by Johnnie Burrell. Book cover: "The ABCs of Democracy" by Hakeem Jeffries.

By Linda Parker Pennington
Special to The Post

House Minority Leader Hakeem Jeffries addressed an enthusiastic overflow audience on Monday at San Francisco’s Commonwealth Club, launching his first book, “The ABCs of Democracy.”

Based on his first speech as House minority leader, “The ABCs of Democracy” by Grand Central Publishing is an illustrated children’s book for people of all ages.

Each letter contrasts what democracy is and isn’t, as in: “American Values over Autocracy”, “Benevolence over Bigotry” and “The Constitution over the Cult.”

Less than a month after the election that will return Donald Trump to the White House, Rep. Jeffries also gave a sobering assessment of what the Democrats learned.

“Our message just wasn’t connecting with the real struggles of the American people,” Jeffries said. “The party in power is the one that will always pay the price.”

On dealing with Trump, Jeffries warned, “We can’t fall into the trap of being outraged every day at what Trump does. That’s just part of his strategy. Remaining calm in the face of turmoil is a choice.”

He pointed out that the razor-thin margin that Republicans now hold in the House is the lowest since the Civil War.

Asked what the public can do, Jeffries spoke about the importance of being “appropriately engaged. Democracy is not on autopilot. It takes a citizenry to hold politicians accountable and a new generation of young people to come forward and serve in public office.”

With a Republican-led White House, Senate, House and Supreme Court, Democrats must “work to find bi-partisan common ground and push back against far-right extremism.”

He also described how he is shaping his own leadership style while his mentor, Speaker-Emeritus Nancy Pelosi, continues to represent San Francisco in Congress. “She says she is not hanging around to be like the mother-in-law in the kitchen, saying ‘my son likes his spaghetti sauce this way, not that way.’”

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