Enhanced Care Management
What is the Enhanced Care Management (ECM) Program?
The Enhanced Care Management (ECM) Program delivers holistic support and coordinated services to high-need Medi-Cal beneficiaries. Enhanced Care Management (ECM) is a Medi-Cal benefit that provides comprehensive care management services to Medi-Cal members with complex health and/or social needs who meet the eligibility criteria, part of the DHCS CalAIM initiative.
What Services Does the ECM Program Provide?
Care Management Planning
Health Promotion
Enhanced Coordination of Care
Referral to Community and Social Service Supports
Connection to PCP
Healthcare System Navigation
Health Promotion
Clinically guided health education and personalized support to improve overall wellness.
Enhanced Coordination of Care
Specialized coordination that meets individual needs, covering health and social service appointments, transportation, health coaching, and more.
Referral to Community and Social Service Supports
Connection to vital resources such as housing navigation services, medically tailored meals,
rental assistance, and additional community support.
Connection to PCP
Facilitating communication between individuals and healthcare providers, including scheduling appointments and sharing relevant updates.
Healthcare System Navigation
Guidance by a dedicated care coordinator to help an individual understand the healthcare system and empower them to take charge of their care.
How to get ECM services
Our Program is designed for Medi-Cal members in Los Angeles County who may qualify for Enhanced Care Management services. To receive ECM Services, you must:
- Be enrolled and receiving care through a managed care plan (e.g, Health Net, Kaiser, or Molina Healthcare)
- Meet certain qualification terms.
Program Eligibility Requirements
To participate in the Enhanced Care Management Program (ECM), applicants must meet certain eligibility requirements, such as:
- Adults & Children Experiencing Homelessness & Adults with Families Experiencing Homelessness
- Adults & Children at risk of ED Utilization or Hospitalization
- Adults & Children with Serious Mental Illness/Substance Use Disorder (SMI/SUD) and other health needs
- Adults & Children at Risk of Long Term Care or Adults Transitioning into the Community from Long Term Care
ECM Services Request Form
If you feel you are eligible for this program, please complete the form below. Once received, our dedicated ECM team will review your form and may contact you to verify your eligibility. If you are not eligible for this program, 211 LA is committed to assisting you via our direct line that operates 24 hours, 7 days a week.
Enhance Care Management (ECM) Partners
Disclaimer
211 LA’s Enhanced Care Management (ECM) program respects your privacy and is committed to protecting your personal information. We collect and use information about you to help coordinate services, provide care management support, and connect you to resources.
When 211 LA receives, creates, or shares information that is considered Protected Health Information (PHI), we handle it in accordance with applicable privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA), as required. We use reasonable administrative, technical, and physical safeguards to protect information from unauthorized access, use, or disclosure.
Information you share with 211 LA ECM staff is treated as confidential and will only be used or disclosed as permitted by law and/or with your authorization. We will only share the minimum information necessary to support your care coordination and referrals.