L.A. Care covers Enhanced Care Management (ECM) services for members with highly complex needs. ECM is a benefit that provides extra services to help you get the care you need to stay healthy. It coordinates the care you get from different doctors.
View our Frequently Asked Questions about the program:
Enhanced Care Management (ECM) offers extra services at no extra cost to select Medi-Cal members with complex needs. It coordinates the care you need. ECM 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.
If you qualify for ECM, you will have a Lead Care Manager who will serve as your main point of contact. Lead Care Manager can meet you where you are—on the street, in a shelter, in your doctor’s office, or at home—to meet your needs. Your Lead Care Manager will work with you and your doctors, and others to get you the care you need to keep you healthy.
You must have a Medi-Cal managed care health plan such as L.A. Care and meet certain criteria to get ECM. There are three ways you can learn more and check if you are qualify:
- You can talk to your doctor.
- You can call L.A. Care Member Services at 888-839-9909 (TTY 711). The L.A. Care Member Services is available 24 hours a day, 7 days a week.
- An ECM provider may reach out to you directly to offer ECM services if you qualify.
No. ECM offers extra services to help you get the care you need and does not take away any services you already have. If you join ECM, you will not lose your Medi-Cal health plan benefits. You can see the same providers.
No. Getting ECM is your choice.
You must be in a Medi-Cal health plan to get ECM. If you need help getting a Medi-Cal health plan, you can call Health Care Options at 1(800) 430-4263 or TTY 1(800) 430-7077. Visit the Health Care Options website for more information.
No. ECM is at no cost to you if you have Medi-Cal.
No. If you sign up for ECM, you will keep the same doctors. ECM offers extra services to coordinate care with your doctors and care team.
Yes. If you would like to stop ECM at any time, please talk to your ECM provider or call L.A. Care Member Services at 888-839-9909 (TTY 711). The L.A. Care Member Services is available 24 hours a day, 7 days a week.
Yes. If you would like to change ECM provider and/or Lead Care Manager at any time, please call L.A. Care Member Services at 888-839-9909 (TTY 711). The L.A. Care Member Services is available 24 hours a day, 7 days a week.
You can get ECM at any time. To learn more and check if you are eligible, you can talk to your doctor or call L.A. Care Member Services at 888-839-9909 (TTY 711). The L.A. Care Member Services is available 24 hours a day, 7 days a week. You may also be reached out to about ECM.
To find out if ECM may be right for you, talk to your L.A. Care representative or healthcare provider. You can also call L.A. Care Member Services team at 888-839-9909 (TTY 711). The L.A. Care Member Services team is available 24 hours a day, 7 days a week.