Enhanced Care Management (ECM)

ECM is a Medi-Cal benefit that provides extra care coordination to members with highly complex needs. Getting ECM services will not change the Medi-Cal benefits you already have. There is no cost to you.

What are ECM services?

In ECM, you will have your own care team with a care coordinator. This person will talk to you, your doctors, and others involved in your health care to get you the care you need.

Your ECM care coordinator can help you:

  • Find doctors and get appointments for health care services you may need.
  • Better understand and keep track of your medications.
  • Set up a ride to get to your doctor visits.
  • Find and apply for community services based on your needs, like housing supports or healthy food.
  • Get follow-up care after you leave the hospital.

How do I find out if I can get ECM services?

ECM will be offered to members who meet at least one of the ECM Populations of Focus definitions described below. The Alliance may contact you about ECM if you qualify. You can call the Alliance or your health care provider to find out whether and when you can receive ECM.

Populations of Focus:

  • Individuals Experiencing Homelessness:
    • Adults without depend children/youth living with them experiencing homelessness.
    • Homeless families or unaccompanied children/youth experiencing homelessness.
  • Individuals at risk for avoidable hospital or emergency department (ED) utilization (formerly known as ‘High Utilizers’)
  • Individuals with serious mental health and/or substance use disorder (SUD) needs
  • Adults living in the community and at risk for long-term care institutionalization.
  • Adult nursing facility residents transitioning to the community.
  • Children and youth enrolled in California’s Children Services (CCS) or CCS Whole Child Model (WCM) with additional needs beyond the CCS condition.
  • Children and youth involved in child welfare.
  • Birth equity population of focus

Questions?

For questions about ECM, please call:

Alliance Case and Disease Management Department
Monday – Friday, 8 am – 5 pm
Phone Number: 1.510.747.4512
Toll-Free: 1.877.251.9612
People with hearing and speaking impairments (CRS/TTY): 711/1.800.735.2929

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