Referring Members to ECM

Eligible members may be referred to ECM by a provider, case manager, or other professionals already serving the population of focus. Members can also self-refer to ECM by calling LA Care Member Service at 1-888-839-9909 (TTY 711). L.A. Care Member Services is available 24 hours a day, 7 days a week. 

Please review the ECM Benefit Member Referral Form and follow these 3 steps to the ECM screening and referral process:

  • Step 1: Complete the Population of Focus Screening Checklist to confirm member eligibility in one or more Populations of Focus.
  • Step 2: Complete the Exclusionary Screening Checklist to verify member eligibility.
  • Step 3: If you determine the member to be eligible for the ECM benefit based on both Screening Checklists, complete the referral form and submit all three forms (1. Population of Focus Checklist, 2. Exclusionary Checklist, 3. Referral Form) to L.A. Care. 

    Submit the completed form and supporting documents via secure fax: (213) 438-5694 or secure email: ECMMembership@lacare.org If you are a current ECM Provider, submit the ECM E-form and supporting documents via L.A. Care’s Provider Portal. 

    If you are a first-time user of the Provider Portal, please be sure to register for access. If you are experiencing any issues in obtaining access, please contact ECM@lacare.org for support.