California Enhanced Care Management (ECM) is an innovative Medi-Cal advantage that provides free care management services to qualifying members with intricate problems and requirements that make improving their health difficulties. Enhanced Care Management (ECM) is an advantage that provides members with extremely complicated needs with additional care coordination services.
Enhanced Care Program provides seven core services:
- Participation and outreach
- Comprehensive assessment and care management plan
- Improved care coordination
- Health promotion
- Comprehensive transitional care
- Member and family support
- Referral and coordination of social support and community services
As part of your Medi-Cal benefits, you get free extra services, such as help with:
- Making and keeping appointments
- Transportation to and from doctor’s appointments
- Understanding your prescription medications
- Medication reminders
- Remote patient monitoring
- Follow-up care after being discharged from the hospital
- Connecting with and applying for community programs and services, such as food stamps and housing.
Enrollees will be assigned a single Enhanced Care Manager who will coordinate care and services across the physical, behavioural, dental, developmental, and social service delivery systems, making it easier for them to receive the appropriate care at the appropriate time.
Members who qualify for Enhanced Care Management California will be assigned their care team, which a care coordinator will lead. This individual will communicate with members, their doctors, mental health providers, experts, pharmacists, case managers, social service agencies, and many others to ensure that everybody works together to get members the care they require. They can also assist them in locating and applying for other community services.
