For Providers

REFER A PATIENT CONTACT US

CARES is contracted with Managed Care Plans in (7) San Joaquin Valley Counties to provide Asthma Remediation Community Support Services

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CalViva Health

Madera
Fresno
Kings

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Health Net

San Joaquin
Stanislaus
Tulare
Kern

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Anthem

Madera
Fresno
Kings
Tulare

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Health Plan of San Joaquin

San Joaquin
Stanislaus

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Kern Family Health Care

Kern

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Kaiser Permanente

Kern

CARES provides families with practical solution to reduce asthma triggers in the home and improve asthma medication compliance, including:

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High-efficiency particulate air (HEPA) filtered vacuums

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Allergen-impermeable mattress and pillow dustcovers

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Integrated Pest Management (IPM) services

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High efficiency HVAC filters, air cleaners and air purifiers

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Hygrometer (humidity monitor)

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Asthma-friendly cleaning supplies

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Spacer for metered dose inhaler (MDI)

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MDI use and technique monitoring device

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Mold removal and remediation

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Ventilation improvements (e.g. repair or replace range hood)

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Evaporative cooler cleaning and maintenance

Prior to implementing Asthma Remediation (AR) services, the CARES program conducts an in-home assessment to determine which AR services are required. The assessment includes the following components:

Patient Demographics

Occupation (adult patient)
Race/Ethnicity
Education
School and Grade (pediatric patient)
School-related activities (pediatric patient)
Caregiver Occupation (pediatric patient)
Caregiver Education (pediatric patient)

Health History

Family Asthma Hx
Patient Age at Dx
Last Well Visit
BP
Pulse Ox
Medication Review
Vaccine Compliance

Asthma Management Status

Known Asthma Triggers
Current Asthma Medications
Rescue and Controller Medication Frequency
Rescue Inhaler Access at Work or School
Current Allergy Medication
Missed Work or School Days
Asthma Action Plan
Actions to Manage Asthma

Asthma Home Environmental Assessment

Building Information
Second-hand Smoke
Pets
Consumer Products
Heating and Cooling Systems
Kitchen Appliances
Patient Bedroom
Moisture Control
Pest Control
Outdoor Environment

LOCATIONS

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Fresno, CA

1939 N. Gateway Blvd. #102,
Fresno, CA
P: (559) 272-4874
F: (559) 493-3802



Bakersfield, CA

1400 Chester Ave, Suite J,
Bakersfield, CA 93301
P: (559) 272-4874
F: (559) 493-3802

Improving the lives of San Joaquin Valley residents,
one breath at a time.

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P: (559) 272-4874

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F: (559) 492-3802

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[email protected]

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1939 N. Gateway Blvd. #102, Fresno, CA 93727

Asthma remediation services, also known as asthma trigger remediation, are physical modifications to a home environment that are necessary to ensure the health, welfare, and safety of the member, or enable the member to function in the home while reducing acute asthma episodes that could result in the need for emergency services and hospitalization.
Asthma Remediation Patient Referral Form
Referral Source Information
Provider Name *
Clinic/Hospital Name *
Phone Number *

Area Code Phone Number
Email *
[email protected]
Patient Information
Patient Name *
Patient Medi-Cal Managed Care Client ID# *
Asthma ICD-10 Code *
Patient Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Patient Date of Birth *

Month Day Year
Patient Primary Phone Number *

Area Code Phone Number
Minor Information
Caregiver Name
Caregiver Alternate Phone Number

Area Code Phone Number
The member has poorly controlled asthma documented by: *

Emergency department visit Hospitalization Two sick/urgent care visits in past 12 months Score of 19 or lower on asthma control test
PLEASE PROVIDE DOCUMENTATION

UPLOAD FILES

Cancel of
This request is for

Home Assessment Prior Authorization
For more information on Central California Asthma Collaborative (CCAC) and/or the Comprehensive Asthma Remediation and Education Services (CARES) Program contact (559) 272-4874 or visit our website www.ccaccares.org
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