Care Coordination : Seniors and persons with disabilities wanting to live independently in the community often face many challenges due to increasing frailty, chronic medical conditions, functional disabilities, limited income, a stressed and overwhelmed family caregiver, depression from multiple losses, lack of knowledge of community resources and services, a limited support network, gaps in services, are among many factors that may limit their independence and ability to live safely in the community. Care Coordination services can offer a viable alternative to institutional care and provide seniors, persons with disabilities and family caregivers the opportunity to explore multiple community options for care in the home. Trained social workers and public health nurses are available to conduct comprehensive in-home evaluations of needs and assist individuals and their family caregivers to navigate a complex community care system that will provide valuable linkages to services that serve to enhance and sustain an individual’s independence at home and reduce the risk of premature or inappropriate nursing home placement. Riverside County Office on Aging offers a full continuum of care coordination programs including: Multipurpose Senior Services Program (MSSP). The function of the MSSP program is to provide comprehensive care coordination services to Medi-Cal beneficiaries and their families and to enable frail adults 65 years and older to remain in their own homes. Social work and nurse care managers provide an in-home assessment to develop an individualized plan of care to address identified problems and unique service needs.
Monday-Fridays 8:00am - 5:00pm
Riverside County Seniors
No fee for eligible participants
Call the Office on Aging Helplink resource center at (800) 510-2020 for program intake and referral.
Riverside County resident, age 65 years +, Medi-Cal eligible, meet level of care criteria, and require care management services.
Inquire at point of intake.
Record last updated:
Varies depending on community demand and capacity of program.
Aug 17 2017 8:59AM