calAIM Contact form

Want to read about the CalAIM Community Support for Skilled Nursing Facility Diversion/Transition to Assisted Living instructions and eligibility requirements first? Click here.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Interested Party Type

Son, Daughter, POA, Public Guardian, Social Worker, Self, etc.

Age

What is age of CS member applicant?

A brief description of the Member's Skilled Nursing Level of Care Needs

See SNF LOC eligility requirements at https://www.carehomefinders.com/calaimreferralpackage.

For the "room and board" portion, does the member receive social security, social security supplemental income (SSI), or social security disability (SSD) income?

For SS/SSI/SSD recipients who receive less than $1,500 there is a state RCFE Non_Medical Out of Home Payment (NMOHC) supplementation up to this amount.

Are you a robot?

This helps us avoid SPAM.

Yes

No, I am a human-based life-form.

calAIM Contact form

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