ECM is a state-wide Medi-Cal Managed Care Plan benefit to support elevated comprehensive care management for members who have the most complex cases.
Enhanced Care Management assigns members with complex needs a single Lead Care Manager to help them navigate their care and services across the physical, behavioral, and dental health delivery systems.
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
For additional information from Department of Health Care Services (DHCS) on ECM, refer to their website.
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