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Enhanced Care Management

 

ECM

Download ECM Referral Form

 

Indivualized Care:

Eligible members will have a dedicated lead care manager who partners with them to ensure they recieve the right care at the right time.

 

What is it?

ECM offers extra services at no cost to Medi-Cal members who have complex needs and challenges that make it difficult to improve their health. ECM breaks down the traditional walls of health care, extending beyond hospitals adnd health care settings into communities.

 

Services:

  • Stay engaged in your health care
  • Make a plan to meet your health goals
  • Connect and update your service providers about the services you get and your needs and wishes
  • Help you learn how to better support your health issues
  • Move safely from one care setting to another, such as in and out of a hospital or nursing home and where you live.
  • Work with your support people so they how to help you
  • Connect to community supports and social services such as food, housing support, job training, childcare, and disability-related service.

 

FAQs

Is there a cost?

No. Members get these extra services at no cost as part of their Medi-Cal benefits.

 

How do i know if i qualify?

To get the ECM benefit, you must have complex needs that make managing your health difficult without additional support. Please contact us for further assessment.

 

What if i do not qualify for ecm but still need help?

We will do our best to refer you to the resources most appropriate for your situation.

 

How will this affect my current benefits?

ECM will not take away any of your current Medi-Cal benefits.

 

How long would i receive ECM?

You will be enrolled until your care goals are met or until you choose to disenroll. Participation is voluntary and you may choose to discontinue services at any time.

 

Will this change my health plan?

No. There will be no changes to your health plan and you can see the same doctors.

 

What are the main services offered by ecm?

  1. Outreach & Engagement

  2. Comprehensive Assessment & Care Management Planning

  3. Enhanced Coordination of Care

  4. Health Promotion

  5. Comprehensive Transitional Care

  6. Member and Family Supports

  7. Coordination of and Referral to Community and Social Supports

If you are a CalOptima Health Member, you may be eligible for Enhanced Care Management (ECM) services at no cost. To learn if you are eligible, please contact us.

Contact Us:

Phone: 657-243-8705

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