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Enhanced Care Management Update

Enhanced Care Management (ECM) is a no-cost Medi-Cal benefit that helps coordinate the care you get from different doctors. This includes your primary care, acute care, behavioral health, developmental, oral health, and community-based long-term services and supports (LTSS) and referrals to community resources. You can get support by phone, in person, and we may even come to your location.

 

ECM does not change any of your benefits, and you may opt in or out at any time by calling IEHP Member Services at the number below. You keep your current providers, and you get help to:

  • Find doctors and get appointments for all health needs.
  • Improve your health by working with you and your doctor on your doctor’s care plan.
  • Arrange transportation to doctors’ visits.
  • Get follow-up services after you leave the hospital.
  • Manage your medicines.
  • Connect to local resources, such as food or other social services.

On Jan. 1, 2024, the Department of Health Care Services (DHCS) expanded ECM eligibility to more people with complex care and needs, including:

 

  • Those transitioning from incarceration.
  • Those who are pregnant or who have given birth within 12 months.

If you qualify, you may be contacted about ECM services. You may also ask your doctor about ECM or call Member Services at 1-800-440-IEHP (4347), Monday-Friday, 7 a.m.-7 p.m., and Saturday-Sunday, 8 a.m.-5 p.m. TTY users should call 1-800-718-4347.