Enhanced Care MANAGEMENT
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Individualized care
Eligible members will have a dedicated lead care manager who partners with them to ensure they receive the right care at the right time.
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Services
• Stay engaged in your health care
• Make a plan to meet your health goals
• Connect and update your service providers about the services you get and your needs and wishes
• Help you learn how to better support your health issues
• Move safely from one care setting to another, such as in and out of a hospital or nursing home and where you live
• Work with your support people so they know how to help you
• Connect to community supports and
social services such as food, housing support, job training, childcare, and disability-related service -
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What is it?
ECM offers extra services at no cost to Medi-Cal members who have complex needs and challenges that make it difficult to improve their health. ECM breaks down the traditional walls of health care, extending beyond hospitals and health care settings into communities.
FAQs
Is there a cost?
No. Members get these extra services at no cost as part of their Medi-Cal benefits.
How do i know if i qualify?
To get the ECM benefit, you must have complex needs that make managing your health difficult without additional support. Please contact us for further assessment.
What if i do not qualify for ecm but still need help?
We will do our best to refer you to the resources most appropriate for your situation.
How will this affect my current benefits?
ECM will not take away any of your current Medi-Cal benefits.
How long would i receive ECM?
You will be enrolled until your care goals are met or until you choose to disenroll. Participation is voluntary and you may choose to discontinue services at any time.
will this change my health plan?
No. There will be no changes to your health plan and you can see the same doctors.
What are the main services offered by ecm?
Outreach & Engagement
Comprehensive Assessment & Care Management Planning
Enhanced Coordination of Care
Health Promotion
Comprehensive Transitional Care
Member and Family Supports
Coordination of and Referral to Community and Social Supports
