Health Home Program

In 2018, Family Bridges’ Community Health Home Program opened at the Hotel Oakland building located at 275-14th Street, Oakland, CA. The site houses an interdisciplinary team of healthcare providers including behavioral health providers, social workers, nurses and housing navigators to offer the case management services for the most vulnerable seniors and adults facing health or social challenges, or houselessness.

The Health Home Mission:
The mission of Family Bridges’ Community Health Home is to partner with our clients to help improve their overall health and well-being through providing enhanced care management for our clients’ health, housing and social service needs.

Who We Serve:
We aim to serve persons with highly complex medical, cognitive or behavioral health challenges, who are at immediate risk of hospitalization or institutional placement, including:
• Multiple Chronic Health Conditions
• Repeat avoidable institutional care, high care utilization and/or uncoordinated care
• Serious Mental Illness
• Substance Abuse
• Houselessness, at-risk for houselessness & housing insecurity

Services We Provide:
• Find doctors and get appointments
• Coordinate the care they receive from different providers
• Understand their prescription drugs
• Get follow-up services after they leave the hospital
• Connect to community and social services, such as food and housing

How do you know if you are eligible for the services?
You must be currently enrolled in an Alameda County Medi-Cal Managed Care Health Plan  –  the two plans available are Alameda Alliance for Health or Anthem Blue Cross.
For information on eligibility or enrollment, please call (510) 595-5588. .

Who’s on the program staff?
Family Bridges’ Community Health Home Program staff includes, but not limited to, registered nurse navigators, community health workers, psychologists, occupational and physical therapists, social workers and registered dieticians.

Is transportation provided for program participants?
If needed, transportation services can be arranged.

What is the Enrollment Process?
• Active Alameda County Medi-Cal Managed Care Health Plan members (of either Alliance for Health or Anthem Blue Cross) who meet the eligibility criteria will be referred to our Health Home and are eligible to enroll.
• Upon receiving the referral, from Alameda Alliance for Health or Anthem Blue Cross, a Family Bridges’ Community Health Home staff will contact the referred member to share information about our Health Home services and to ascertain if the individual wants to enroll.
• If the individual would like to become a member of our Community Health Home, then enrollment and assessment activities will be conducted by a Family Bridges’ multi-disciplinary team to determine the needs of the member.
• An individual not currently an active Alameda Alliance for Health or Anthem Blue Cross member but meeting our Health Home eligibility criteria must first enroll in one of the Medi-cal Managed Care Health Plans before enrolling into Family Bridges’ Community Health Home.  Our Community Health Home staff can assist with this process.

Where is the program located?
The Family Bridges’ Community Health Home is located within the historic Hotel Oakland building at 275 14th Street, Oakland, CA 94612. The site provides a home base for an interdisciplinary team of healthcare providers who offer enhanced care management services for the most vulnerable seniors and adults facing health or social challenges, or houselessness.

What are the program hours?
Monday – Friday 8:30 am – 3:30 pm, by appointment only.

How do I contact the center?
For questions and inquiries contact Chrisy Tran, RN, at [email protected] or call at (510) 595-5588