CalAIM Eligibility Check

We're happy to help verify if a member is eligible for CalAIM Community Supports services. Simply provide the member's information below and we'll check their eligibility status.

Important Requirements
  • Member must currently have active Medi-Cal coverage
  • If ineligible, we cannot determine the specific reason (e.g., share of cost)
  • Results provided within 1 business day via email

What We Check:

  • • Current Medi-Cal enrollment status
  • • CalAIM Community Supports eligibility
  • • Health plan participation requirements
  • • Geographic service area coverage

💡 Tip: Have your Medi-Cal card and MRN ready before submitting

Service Areas & Coverage
Kaiser Permanente

Active in all California counties

Serves members statewide with comprehensive CalAIM Community Supports

Health Net

Los Angeles and Sacramento counties only

Limited geographic coverage - verify county before applying

Coverage Note:

You must be enrolled with one of these health plans to access CalAIM Community Supports through Connections Care Home Consultants.

Share of Cost (SOC) Information

SOC Threshold:

Share of Cost is usually triggered if a member receives more than $1,800/month, although this can vary by county and circumstances.

SNF Residents:

Members in Skilled Nursing Facilities with income above $1,800/month may not show a SOC since the SNF receives most income. This may change when transitioning to community living.

For detailed SOC verification and current thresholds:

BenefitsCal.com
Eligibility Check Request
Please provide the member's information and your contact details below.

Member Information

Please select a health plan above to see specific MRN guidance.

Your Contact Information

Please confirm your email to ensure you receive the eligibility results.

Please specify your relationship to the member for whom you're requesting the eligibility check.

Response Time: We will email you the eligibility results within 1 business day.

Privacy: All member information is handled in accordance with HIPAA regulations and our privacy policy.