IMPORTANT: Changes to Medi-Cal rules are coming! Medi-Cal will be available to all people who are 50 years of age or older who meet all Medi-Cal eligibility criteria, and immigration status will not matter. These changes will also let people keep more property and qualify for Medi-Cal. Go to benefitscal.com or call the Los Angeles County Department of Public Social Services at 1-866-613-3777.

a nurse and patient

A Whole-Person Approach to Care

A new Medi-Cal benefit to coordinate care for our highest risk members.

Enhanced Care Management

Enhanced Care Management (ECM) is a statewide Medi-Cal benefit effective January 1, 2022. ECM aims to provide a whole-person approach to care that addresses the clinical and non-clinical circumstances of high-need members enrolled in Medi-Cal managed care.

The overall goal of the ECM benefit is to provide comprehensive care and achieve better health outcomes for the highest need beneficiaries in Medi-Cal by:

  • Improving care coordination
  • Integrating services
  • Facilitating community resources
  • Addressing social determinants of health
  • Improving health outcomes
  • Decreasing inappropriate utilization and duplication of services

 

Eligibility

Medi-Cal managed care members are eligible for the ECM benefit if they meet specific eligibility criteria of a population of focus.

View Eligibility Criteria

Services

ECM providers deliver core service components of intensive and comprehensive care management to members enrolled in the program.

See Service Components

Providers

As a collaborative and interdisciplinary approach, ECM is delivered primarily by community-based entities that hold contracts with managed care plans.

Learn About Provider Roles

FAQs and Resources

L.A. County managed care plans developed a set of Frequently Asked Questions to support new ECM Providers. We've also got webinars slides about the program.

Go to FAQs and Resources