Recuperative Care for CalAIM Members in Solano & Sonoma Counties
Medical respite with oversight for post-hospital recovery
When patients need more than housing but less than skilled nursing, Hammock Homes provides recuperative care (medical respite)—helping hospitals and health plans ensure safe transitions for eligible Medi-Cal members across Northern California.
Our Recuperative Care Model
Recuperative care—also called medical respite—bridges the gap between hospital and independent living for individuals who need continued medical oversight during recovery.
At Hammock Homes, our recuperative care emphasizes communication, coordination, and continuity between hospital discharge teams and recovery support. Each participant receives:
- Staffed recovery environment with oversight
- Medication reminders and health monitoring
- Wound care and post-surgical support
- Case management for benefits and housing navigation
- Transportation to medical appointments
- Consistent updates to referring partners
This comprehensive approach helps prevent readmissions while supporting recovery in a home-like setting under CalAIM’s Community Supports program.
Recuperative Care vs STPH: Which Service Fits?
Recuperative Care
Oversight and medical monitoring
Wound care & medical needs
Cannot safely recover without clinical support
Daily health assessments
Short-Term Post-Hospitalization
No medical oversight needed
Self-manages medications and daily activities
Medically stable, needs housing not healthcare
Periodic wellness checks only
Basic housing and case management
Who Qualifies for Recuperative Care
Our recuperative care serves CalAIM members who:
- Are being discharged from hospitals, emergency departments, or psychiatric facilities
- Require ongoing medical monitoring or oversight support
- Have complex medical needs including:
- Post-surgical recovery requiring wound care
- IV antibiotic administration
- Mobility assistance during recovery
- Chronic condition stabilization
- Medication management needs
- Are covered by Partnership HealthPlan or Medi-Cal (CalAIM)
- Cannot safely recover in their current living situation
Typical Length of Stay: 30-90 days based on medical necessity
Referral Sources: Hospital discharge planners, emergency departments, behavioral health facilities, case managers, treatment centers, incarceration discharges
What Sets Our Recuperative Care Apart
Medical Support Included
On site staff providing daily assessments
Wound care and dressing changes
Vital signs monitoring and health status tracking
Coordination with primary care and specialists
Beyond Medical Care
Benefits enrollment assistance (SSI, SNAP, Medi-Cal)
Housing navigation for permanent placement
Behavioral health connections
Transportation to all medical appointments
Nutritious meals supporting recovery
Life skills development for independent living
Quick Information
Our recuperative care program serves individuals recovering
from various medical situations, including:
Ready to Refer?
For hospitals, case managers, and community clinicians – use one of the methods below to begin the referral process.
Additional Resources
Recuperative Care FAQ
Recuperative care provides oversight and medical support for individuals with ongoing clinical needs. STPH serves medically stable individuals who can self-manage but need housing. See our comparison chart above or call us to determine the appropriate level of care.
Post-surgical recovery, wound care, diabetes management, and other conditions requiring oversight but not hospital-level care.
Hammock Homes accommodates a wide range of conditions such as post-surgical recovery, chronic illness management, wound care, mobility issues, and medical stabilization needs. Each client’s care is tailored to their individual health requirements.
Hospital discharge planners, emergency departments, case managers, behavioral health facilities, treatment centers, incarceration discharges, and care coordinators can refer via our online form, phone, or email.
Length of stay is based on medical necessity, typically 30-90 days. Extensions may be approved with medical justification within CalAIM guidelines.
No. Services are fully covered for eligible CalAIM members through Partnership HealthPlan. We handle all authorizations directly.
Our case managers work on discharge planning from day one, helping secure permanent housing, establish primary care, and connect to ongoing support services.
Yes, we support dual diagnosis clients with both medical and behavioral health needs, coordinating with psychiatric providers as needed.