ECM is a statewide Medi-Cal benefit that aims to provide a whole-person approach to care that addresses the clinical and non-clinical circumstances of high-need members enrolled in Medi-Cal managed care.
ECM is a collaborative and interdisciplinary approach to providing intensive and comprehensive care management services to populations of focus. ECM services are delivered primarily through community-based entities that hold contracts with managed care plans (MCPs).
The overall goal of the ECM benefit is to provide comprehensive care and achieve better health outcomes for the highest need beneficiaries in Medi-Cal by:
- Improving care coordination
- Integrating services
- Facilitating community resources
- Addressing social determinants of health
- Improving health outcomes
- Decreasing inappropriate utilization and duplication of services
Delegates and providers are responsible to identify and refer eligible members to L.A. Care for ECM.
To refer member to ECM, please visit our Manuals and Forms web page.
For more information, providers can visit our Enhanced Care Management web page.