Enhanced Care Management Services
What Is Enhanced Care Management (ECM)?
Enhanced Care Management makes it easier for members to get the right care at the right time in the right setting, and receive comprehensive care that goes beyond the doctor’s office or hospital.
Enhanced Care Management is a statewide Medi-Cal benefit available to select members with complex needs. Enrolled members receive comprehensive care management from a single lead care manager who coordinates all their health and health-related care, including physical, mental, and dental care, and social services.
TBD
What Do We Do
ECM assigns a Lead Care Manager to help you work with and track all your health care providers. We can find doctors, dentists or therapists and make appointments with you, as well as find and apply for programs for housing, food, and child care or connect to community programs when needed.
Who Is Eligible?
Gold Coast Health Plan members and Kaiser health plan members who meet at least one of the following eligibility criteria:
- homeless or at risk of homelessness
- at risk of avoidable hospital or emergency room care
- experiencing serious mental health or substance use disorder needs
- adults or youth transitioning from incarceration
- children or youth involved in foster care (child welfare)
- children or youth enrolled in California Children's Services (CCS) or
- CCS Whole Child Model with additional needs
- pregnant or postpartum
