Someone in your corner

Wish someone could just go with you and explain it all?

Atlas Community Health Workers come from the communities they serve. They can sit with you, explain what the paperwork means, help you prepare for appointments, and follow up afterward — in your language.

See If I Qualify Call (858) 215-6887

$0 cost to qualifying membersCovered through Medi-Cal

A community health worker walking with a member in their neighborhood

What this usually feels like

Forms and letters written in language nobody explains.
Appointments where you leave with more questions than answers.
No one to ask about managing a condition day to day.
Feeling like the system was not built for your family.

Formally, this service is Community Health Worker (CHW) services. You do not need to know the program name to ask for help.

What we do

How Atlas helps

Delivering culturally aligned care that connects health and social services to enhance community well-being.

A trusted person from your community

Community Health Workers share your language and context, and they meet you where you are.

Help before and after visits

Preparing your questions, understanding instructions, and following through afterward.

Practical health education

Day-to-day support for managing conditions, medications, and prevention in plain language.

Navigation without the runaround

Help with benefits, forms, and system questions so a form is not what stops your care.

Who may benefit

Who this is for

Community Health Worker support pairs with your other care — it is not a replacement for your doctor.

Anyone new to Medi-Cal benefits
Members with language or access barriers
Communities historically under-served
Members managing chronic conditions like diabetes or hypertension
Pregnant or postpartum members needing community-based support
Newly arrived immigrant and refugee families
Seniors who need help navigating appointments and medications
Members reconnecting with care after a hospital or jail discharge

What's included

Support for whatever you're carrying

From mental health and recovery, to relationships and medication, our behavioral health team provides personalized support for what you're going through.

1:1 navigation & advocacy

A trusted person from your own community walks you through benefits, appointments, and paperwork — and speaks up on your behalf when the system gets stuck.

Bilingual & culturally aligned

Care delivered in your language, by someone who shares your background — closing the trust gap that keeps so many members from engaging with care.

Education & self-management coaching

Practical coaching on chronic conditions, medications, and preventive care — building the confidence to manage your own health between visits.

Warm hand-offs to care teams

When a clinical need shows up, your CHW makes a live introduction to the right provider — not a phone number on a slip of paper.

Home & community visits

CHWs meet you at home, at the clinic, or in your neighborhood — building the trust and consistency that phone calls and portals can't.

Benefits & resource enrollment

Help signing up for Medi-Cal, CalFresh, WIC, housing programs, and other community resources — with someone who knows the paperwork and the people.

How to get it

Getting started takes one step

1
Ask about it
Start the eligibility check or call us and mention you want in-person help.
2
Get matched
We match you with a Community Health Worker who fits your language and community.
3
Meet somewhere that works
Home, clinic, community organization, or by phone — whatever works for you.
4
Keep the support going
They stay with you through appointments, follow-ups, and questions as they come up.

Availability of Community Health Worker services depends on your Medi-Cal plan's authorization and local capacity.

Who we help

You may be a good fit for this support if...

Experiencing Homelessness or Unstable Housing

If you're without stable housing or worried about where to stay, we can help coordinate your care and connect you with available housing and community resources.

Pregnancy & Postpartum Support

Pregnant or recently had a baby? We can help coordinate your healthcare and connect you with additional support during pregnancy and after delivery.

Mental Health & Recovery Support

If you're managing serious mental health or substance use needs, we can help bring your healthcare, behavioral health, recovery services, and everyday support together.

Frequent ER Visits or Hospital Stays

If you've been to the ER or hospital several times, we can help coordinate follow-up care, medications, appointments, and other support to help you stay well at home.

In your language

Let's get someone in your corner.

Answer a few short questions and a real person will follow up — or call us to talk it through.

See If I Qualify Call (858) 215-6887

For providers, partners & anyone who wants the details

Detailed program information

Community Health Worker (CHW) services — CHWs are trusted neighbors trained to help you self-advocate, navigate the system, and connect to the right resources in your own community and language.

Health Navigation

CHWs guide you through the healthcare system — explaining benefits, scheduling appointments, arranging transportation, and helping with paperwork.

Health Education & Coaching

Culturally appropriate education on chronic conditions, preventive care, and lifestyle change — coaching that meets you where you are.

Care Coordination

Acting as your liaison across providers — tracking referrals, supporting medication adherence, and smoothing care transitions.

Social Support Services

Connecting you to housing, food security, and employment resources, with translation and interpretation whenever it's needed.

Advocacy & Community Engagement

Representing your needs within the healthcare system and teaching self-advocacy skills you can carry forward.

Cultural Mediation

Bridging cultural gaps between providers and members, supporting traditional practices, and facilitating respectful cross-cultural communication.

Direct Client Support

Home visits, practical and emotional support, basic needs assessments, and the confidence-building that turns intent into action.

The challenge, in statewide data

Sources: California Department of Health Care Services (DHCS), Medi-Cal, and CalAIM program data.

July 1, 2022

CHW services became a covered Medi-Cal benefit

Source · DHCS Provider Bulletin

Statewide

Standing recommendation now expands CHW access for all members

Source · DHCS 2024 Update

↓ ER use

CHW programs consistently reduce avoidable emergency visits

Source · CA Assembly Health Committee Briefing

How Atlas addresses it

Hired from the communities we serve

Our CHWs share language, culture, and lived experience with members — the single biggest predictor of whether someone trusts the health system enough to engage with it.

We use the standing recommendation

Members can access CHW services without chasing down a separate physician order each time — exactly what the 2024 DHCS standing recommendation was designed to enable.

Focused on the upstream wins

Medication reconciliation, chronic disease coaching, appointment follow-through — the unglamorous work that quietly keeps people out of the emergency room.

Other ways we help

All services