Enhanced Care Management

If you qualify for ECM, a lead care manager will give you personalized support and serve as your main contact. Your lead care manager can meet you at a place that works for you:

• On the street
• In a shelter
• At your doctor’s office
• At home

They’ll coordinate with you, your health care providers and others to ensure you get the care you need. Your lead care manager can also connect you to other community services, such as housing, food and childcare. Your information will remain private and will not be shared without your consent.

If you join ECM, your benefits will not change. You keep your providers, and your care team will help you:

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

ECM is for members, regardless of age, who have Medi-Cal with a managed care health plan and meet at least one of these groups (called “Populations of Focus”):

Through ECM, you may also be connected to Community Supports services. IEHP Medi-Cal members have the choice to use Community Supports. If you qualify, there are 14 types of services that can help you with your health and well-being.

You don’t have to pay for Community Supports. They don’t replace the benefits that you already get under Medi-Cal. These services are available to Medi-Cal members regardless of whether you qualify for ECM.