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

 

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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

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Services


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

See Service Components

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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

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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