Enhanced Care Management (ECM)
“ECM” is a new program that offers extra support to eligible members who face health complications and social barriers that prevent them from maintaining their health.
As a member, you may receive services such as:
- Connecting with your primary care doctor, specialists, and other providers.
- Getting help coordinating transportation to your medical appointments.
- Assistance with your support system, including your caseworker, to get the best medical care.
- Education and access to your medications and help navigating new prescriptions.
- Information and referrals to community resources like food banks, housing, job workshops, etc.
- Support/assistance for your family and caregivers.
You will be assigned an ECM coordinator/caseworker who will help you navigate the system and provide support in your health journey:
- We will establish monthly check-ins to improve your health.
- We will create goals to improve and enhance your quality of life.
- We will keep your doctors informed about changes in your health.
- We will coordinate care and specialist visits in a simple and effective way.
- We will provide support and resources to your family and support team.
To be eligible for ECM services, members must:
- Be enrolled in the Medi-Cal program.
- And meet one or more of the following conditions:
- Be at risk of or experiencing homelessness, health complications, emotional disorders, or physical problems.
- Be at high risk of mental health disorders, substance use, and social factors.
- Frequently visit the emergency room, have avoidable hospital or recovery center admissions.
For more information call your Medi-Cal
TTY – (800) 430 – 7077
No. This is an additional service on top of your existing benefits.
No. This program is covered by your health plan and is completely free.
No. But we encourage you to take advantage of these services to improve your quality of life. You can cancel the program at any time.
After enrollment, your worker will contact you to complete a brief assessment and learn about your needs. A care plan will be created specifically for you.