activities · 22
what they do
direct service · 22
- Care Coordination and Logistics Management Integrated Care & Case ManagementManages end-to-end care coordination including personalized care planning, prescription refills, appointment scheduling, transportation logistics, and documentation for Medicare and Medi-Cal, ensuring seamless integration across multidisciplinary care teams.
- Care Coordination and Logistics Management Integrated Care & Case ManagementManages end-to-end care coordination including prescription refills, appointment scheduling, transportation logistics, and communication across multidisciplinary care teams, while handling Medicare and Medi-Cal documentation to ensure seamless service delivery.
- Comprehensive Medical and Clinical Services PACE Comprehensive Elder CareDelivers a full range of medical services through on-site clinics at PACE centers, including specialized care for seniors with complex health conditions, routine monitoring of chronic diseases such as diabetes, and administration of injections and prescription medications. Care is provided by a multidisciplinary team across 11 disciplines.
- Dental Care Services Comprehensive Dental Care AccessOffers comprehensive dental services including cleanings, fillings, extractions, and dentures at no additional cost to participants, delivered through on-site clinics at PACE centers.
- Dental Care Services Comprehensive Dental Care AccessProvides comprehensive dental care including cleanings, fillings, extractions, and dentures at no additional cost to participants, available through on-site services at PACE locations.
- HCBA Waiver Program ServicesProvides Home and Community-Based Alternatives (HCBA) Waiver Program services for Medi-Cal recipients with high-level care needs, including personalized care management, needs assessments, and development of individualized care plans in coordination with nurses, social workers, and physicians to support independent living in the community.
- HCBA Waiver Program for Medi-Cal RecipientsProvides Home and Community-Based Alternatives (HCBA) Waiver services, including personalized care management, needs assessments, and care planning for Medi-Cal recipients with high-level care needs to support independent living in the community.
- Home Health Monitoring and Medication Delivery Chronic Disease Self-Management EducationConducts regular monitoring of health indicators such as diabetes, foot, and eye health, and delivers prescription medications and injections directly to participants' homes to support chronic disease management.
- In-Home Personal and Support Services Home-Based Rehabilitation TherapyDelivers in-home assistance with activities of daily living such as bathing, dressing, light housekeeping, and personal care for older adults, supporting independence and reducing the need for institutionalization.
- In-Home Personal and Supportive Care Home-Based Rehabilitation TherapyDelivers in-home assistance with activities of daily living such as bathing, dressing, and light housekeeping for older adults enrolled in PACE or HCBA programs, enabling them to remain safely in their homes.
- Medical and Rehabilitation Services In-Home Skilled Nursing CareProvides comprehensive on-site medical care and rehabilitation services including physical, occupational, and speech therapy, tailored to seniors with complex health conditions through PACE center clinics and home visits.
- Nutrition Services and Meal Delivery Congregate Meals for SeniorsProvides balanced, nutritious meals tailored to individual health and nutritional needs at PACE centers and through home delivery to support seniors' health goals.
- Nutritious Meal Provision Congregate Meals for SeniorsProvides balanced, tailored meals that align with individual health and nutrition goals, served at PACE centers and delivered directly to participants' homes.
- PACE Program for Older Adults with Complex Health Needs PACE Comprehensive Elder CareOperates a Program of All-Inclusive Care for the Elderly (PACE) that provides comprehensive medical, social, and supportive services to individuals aged 55 and older who meet nursing home level of care criteria, enabling them to remain in their communities. Services include on-site clinics, home-based care, transportation, meals, and social activities across six East Bay locations.
- PACE Program for Older Adults with Complex Health Needs PACE Comprehensive Elder CareOperates a Program of All-Inclusive Care for the Elderly (PACE) that serves individuals aged 55 and older who have multiple health challenges and meet nursing home level of care criteria, providing comprehensive medical, social, and supportive services to enable community living. The program is delivered through six service locations in the East Bay Area and includes pre-enrollment assessments to determine eligibility.
- Provider Network Access for PACE Participants Healthcare Provider Network CoordinationProvides enrolled PACE participants with access to a network of contracted healthcare providers to ensure continuity and comprehensiveness of care beyond on-site services.
- Rehabilitation Therapy Services Home-Based Rehabilitation TherapyProvides physical, occupational, and speech therapy to support mobility, independence, and recovery for older adults, delivered as part of the multidisciplinary PACE model.
- Social Engagement and Community ActivitiesOffers structured social activities including games, dance classes, and organized outings at PACE centers to promote community building, mental well-being, and social engagement among older adults.
- Transportation Services Non-Emergent Medical Appointment TransportationOperates a fleet of vans and drivers to provide door-to-door transportation for participants to medical appointments, PACE centers, CEI-sponsored outings, and field trips, ensuring access to essential services and social engagement.
- Transportation Services Non-Emergent Medical Appointment TransportationOperates a fleet of vans and drivers to provide reliable, door-to-door transportation for participants to medical appointments, PACE centers, CEI-sponsored outings, and other essential destinations, ensuring access to care and social engagement.
- Vision Care Services Comprehensive Vision Care ServicesOffers routine vision exams, prescription eyewear, and frames through on-site optometry services for PACE participants, supporting ongoing eye health and functional independence.
- Vision and Optometry Services Comprehensive Vision Care ServicesProvides routine vision exams, prescription eyewear, and frames through on-site optometry services for PACE participants to support eye health and functional independence.
strategies · 11
how they think
Theories of action extracted from this org's own source material. Click any to see the full field of orgs running the same approach.
- Community-Based and Community-Partnered Care Delivery community_based_careBy anchoring care in the community and building strong partnerships with caregivers, volunteers, and local organizations, the organization enables high-need older adults to remain in their homes while ensuring reliable, coordinated service delivery.
- Holistic Integration of Health and Social Well-Being holistic_home-based_careCare models integrate physical health, emotional wellness, and social engagement as interconnected components of elder care, recognizing social connection as essential to cognitive and emotional health in aging populations.
- Independence-Centered, Community-Based Care independence-centered careThe organization prioritizes enabling at-risk older adults to live independently in their homes and communities by delivering holistic, person-centered care that integrates health, social support, and emotional well-being, reducing institutionalization.
- Independence-Centered, Person-Centered Care Philosophy independence-centered careCare planning prioritizes the preservation of independence, dignity, and individual life experiences, using personalized, participant-driven approaches that empower older adults to make choices about their care and daily lives.
- Integrated and Holistic Home-Based Care integrated_care_for_complex_needsThe organization delivers integrated, person-centered care in home and community settings, combining medical, emotional, social, and functional support to improve health outcomes and sustain independence for at-risk older adults.
- Integration of Social Wellbeing into Clinical Care social_wellbeing_integrationSocial engagement is treated as a core clinical component, intentionally integrated into care plans to support emotional health, cognitive function, and overall quality of life for older adults.
- Interdisciplinary Team-Based Care Management interdisciplinary_care_managementPersonalized care plans are developed and delivered by interdisciplinary teams—including nurses, social workers, and other professionals—to address medical, functional, and social needs, ensuring coordinated support for safe community living and independence.
- Interdisciplinary Team-Based Care Management interdisciplinary_care_managementCare is delivered through interdisciplinary teams—including nurses, social workers, and other professionals—who collaboratively develop personalized care plans to support safe, independent community living for older adults with complex health and functional needs.
- PACE Model for Comprehensive Elder Care PACE modelThe organization uses the PACE (Program of All-Inclusive Care for the Elderly) model, a multidisciplinary, team-based approach that provides personalized, comprehensive health and social services to support older adults with complex needs in living independently. This model integrates medical care, social support, and insurance functions into a single coordinated system.
- PACE Model for Comprehensive Elder Care PACE modelThe organization uses the PACE (Program of All-Inclusive Care for the Elderly) model, a multidisciplinary, integrated care approach that combines medical, social, and long-term services to support older adults with complex health needs in living independently. As both a healthcare provider and insurer, the model ensures comprehensive, coordinated, and reliable care delivery.
- Reliable Care Delivery and Community Partnerships reliable_care_deliveryThe organization ensures consistent and dependable care services through strong partnerships with caregivers, volunteers, benefactors, and community organizations, enhancing service reach and reliability.
named programs · 11
what they call their work
Care Coordination
Personalized care planning and case management by an interdisciplinary team, including coordination of medical appointments, prescriptions, and communication across providers.
Dental Care
Full dental services including cleanings, fillings, extractions, and dentures, included in PACE with no additional fees.
Eye Care
Routine eye exams and prescription eyewear provided by optometrists as part of the participant’s care plan.
HCBA Waiver Program
Medical services program for at-risk and vulnerable individuals of all ages that allows them to live at home; serves as an alternative to institutional care.
Home Care
Provides assistance with daily living activities such as bathing, dressing, and light housekeeping in the participant’s home to support independent living.
Medical Care
Primary and specialty medical services delivered by a team of providers specializing in geriatric care, available at PACE centers with on-site clinics.
Nutrition & Meal Service
Provides balanced, nutritious meals at PACE centers and, when needed, at home to support health and dietary goals.
PACE (Program of All-Inclusive Care for the Elderly)
Comprehensive health and social services program for seniors 55+ with multiple health challenges, enabling them to live independently at home. Includes medical care, home care, dental, eye care, rehabilitation, transportation, nutrition, and social activities.
Rehabilitation
Physical, occupational, and speech therapy services tailored to maintain or improve mobility, function, and independence.
Social Environment
Organized social activities including games, dance classes, and outings to reduce isolation and build community among participants.
Transportation
Reliable transportation to and from PACE centers, medical appointments, and social outings, provided door-to-door.
relationships · 7
who they work with
- California Department of Health Care Services Government — Determines level of care eligibility for PACE enrollment
- California Department of Health Care Services Government — Determines level of care requirements for PACE enrollment and approves care plans for HCBA Waiver participants.
- Medi-Cal Government — Administers funding and eligibility for PACE and HCBA programs provided by CEI
- Medi-Cal Government — Primary public health program covering PACE and HCBA services for eligible participants.
- Medicare Government — Federal health insurance program that, when combined with Medi-Cal, covers PACE and HCBA services with no copay.
- Medicare Government — Provides insurance coverage that integrates with CEI's PACE program for eligible participants
- PACE Network — Member of the Program of All-Inclusive Care for the Elderly (PACE) network, delivering care through the PACE model.