Make a Referral to United And Guided (UAG)
Use the universal referral form below to connect a Medi-Cal member (or community member) to UAG services — and get confirmation that the referral was received, accepted, and acted on.
This is a closed-loop referral. That means you’re not sending someone into a void. You’ll know what happened next.
What is a Closed-Loop Referral System?
A closed-loop referral system is a referral process that:
- Confirms the referral was received
- Shows whether it was accepted or declined
- Tracks next steps and outcomes
- Keeps the referring partner informed (when appropriate), so care doesn’t fall through the cracks
In public health and care management, closed-loop referrals reduce delays, prevent duplication, and help ensure people actually get connected to services.
How Closed-Loop Referrals Connect to DHCS (Medi-Cal)
California’s Department of Health Care Services (DHCS) supports coordinated care models that require strong referral pathways—especially for high-need Medi-Cal members.
Closed-loop referrals support DHCS-aligned goals like:
- Whole-person care (medical + behavioral + social needs)
- Care coordination across providers and community-based organizations
- Accountability and documentation for service connection and follow-through
- Better continuity for members experiencing homelessness, instability, or complex needs
UAG’s referral process is built to support this kind of coordination—fast, trackable, and client-centered.
Who Should Use This Form?
Use this form if you are:
- A health plan, medical group, clinic, hospital, or care team member
- A county program or contracted provider
- A school, shelter, outreach team, or community-based organization
- A family member, advocate, or self-referring individual
If you’re not sure whether the person qualifies, submit the referral anyway—our team will follow up.
Who We Serve
UAG supports Medi-Cal members and community members who may be experiencing:
- Homelessness or housing instability
- High barriers to care access (transportation, documentation, phone instability, etc.)
- Behavioral health needs and/or desire for peer-led support
- Pregnancy/postpartum needs and family stabilization goals
- Employment and workforce readiness barriers
Services You Can Refer To
Select one (or more) service areas in the form:
Homeless & Housing Support
Peer-led navigation and support for individuals experiencing homelessness or housing instability.
Workforce Development
Support with readiness, stability planning, and connection to training or employment pathways.
Birth Equity Support
Culturally competent, trauma-informed support for prenatal and postpartum families.
Fatherhood Support
Support for fathers and partners navigating pregnancy, parenting, stability, and family goals.
Mental Health Peer Support
Peer-led support grounded in lived experience, dignity, and client autonomy.
What Happens After You Submit
Here’s what you can expect from our closed-loop process:
1. Referral received (confirmation)
2. UAG reviews eligibility and urgency
3. Outreach to the member (using the contact method provided)
4. Connection to services or warm handoff to the right resource
5. Referral status updated (when appropriate)
Response times vary based on urgency, contact availability, and member consent.
Universal Referral Form
Complete the form below to submit a referral to UAG.