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The Alliance offers services to eligible members through two programs called Enhanced Care Management (ECM) and Community Supports (CS). These services help people with complex health issues and people who need help setting up their medical care.
Members can also call the Alliance Member Services Department at 800-700-3874 from 8 a.m. to 5:30 p.m., Monday through Friday. If you need language assistance, we have a special telephone line to get an interpreter who speaks your language at no cost to you. For the Hearing or Speech Assistance Line, call 800-735-2929 (TTY: Dial 711).
13 Αυγ 2024 · ECM is a new statewide Medi-Cal benefit available to eligible members with complex needs, including: Access to a single Lead Care Manager who provides comprehensive care management and coordinates their health and health-related care and services.
On January 1, 2023, MCPs will expand ECM to the following Populations of Focus in HHP counties: Individuals Transitioning from Incarceration (adults and children/youth); Members Eligible for LTC and at Risk of Institutionalization; and Nursing Home Residents Transitioning to the Community.
Effective January 1, 2022, California Health & Wellness Plan (CHWP) will launch the Medi-Cal ECM benefit designed by DHCS and authorized by the Centers for Medicare and Medicaid Services (CMS). The
Launched in 2022, ECM is a statewide Medi-Cal benefit that offers eligible Members comprehensive care through coordinated management of community-based, interdisciplinary, high touch, and person-centered services. All MCPs must offer ECM to those who qualify for it.
This California Advancing and Innovating Medi-Cal (CalAIM) Enhanced Care Management (ECM) Policy Guide is intended to serve as a resource for Medi-Cal Managed Care health plans (or “Managed Care Plans” (MCPs)) in the implementation of ECM. The Policy Guide provides a comprehensive overview of ECM as well as additional
