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.
Services
ECM providers deliver core service components of intensive and comprehensive care management to members enrolled in the program.
Providers
As a collaborative and interdisciplinary approach, ECM is delivered primarily by community-based entities that hold contracts with managed care plans.
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.