L.A. Care covers Enhanced Care Management (ECM) services for members with highly complex needs.
ECM has extra services to help you get the care you need to stay healthy. It coordinates your care from different doctors and other health care providers.
ECM helps coordinate primary and preventive care, acute care, behavioral health, developmental, oral health, community-based long-term services and supports (LTSS), and referrals to community resources.
If you qualify, you may be contacted about ECM services. You can also call L.A. Care to find out if and when you can get ECM. Or talk to your health care provider. They can find out if you qualify for ECM or refer you for care management services.
Covered ECM services
If you qualify for ECM, you will have your own care team with a Lead Care Manager. This person will talk to you and your doctors, specialists, pharmacists, case managers, social services providers, and others. They make sure everyone works together to get you the care you need.
A Lead Care Manager can also help you find and apply for other services in your community.
ECM includes:
- Outreach and engagement
- Comprehensive assessment and care management
- Enhanced coordination of care
- Health promotion
- Comprehensive transitional care
- Member and family support services
- Coordination and referral to community and social supports
To find out if ECM may be right for you, talk to your L.A. Care representative or health care provider.
Cost to member
There is no cost to the member for ECM services.