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Enhanced Care Management

ECM Overview

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. This could include health conditions or challenges such as not having a place to live.

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How Can ECM Help You?

If you qualify, ECM will give you health care services and other help to meet your needs.

You will have a team that helps you with things like:

  • Making a plan to get the care you need
  • Finding doctors or other health care providers and making appointments
  • Keeping all of your health care providers updated about your health needs and wishes
  • Connecting you to community and social services that you need (like food or in-home support)

These extra services are offered as part of your current Medi-Cal plan. The Medi-Cal services you get now will not be taken away. You can still see your same doctors, but now you can get extra help.

Who Can Get ECM Services?

To get ECM services, you must (1) be enrolled in a Medi-Cal managed care health plan and (2) meet certain eligibility requirements.

Talk to your doctor or Medi-Cal health plan if you are interested in learning more and to see if you qualify.

If you qualify, getting ECM services is your choice.

Who Provides ECM Services?

You will have a dedicated lead care manager that works with you to help you get the care you need. Your ECM lead care manager works with your current doctors and other health care providers, providing an added layer of support. They will coordinate with people you choose, like your:

  • Doctors, specialists, and nurses
  • Pharmacists and nutritionists
  • Therapists and social service case managers
  • Caregivers and personal support system

How Do Qualified Medi-Cal Members Access ECM Services?

There are 3 ways to access ECM services

Your doctor, your Medi-Cal health plan, or another health care provider may contact you

Your doctor might let your Medi-Cal health plan know that you may qualify

You can call your Medi-Cal health plan for information and to see if you qualify

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