Enhanced Care Management — a benefit providing a whole-person approach to care

Enhanced Care Management (ECM) is a benefit for eligible Medi-Cal Managed Care (Medi-Cal) members with complex health and/or social needs. ECM provides a whole-person approach to care that addresses the clinical and non-clinical circumstances of a high-need Medi-Cal member and is a collaborative approach to providing intensive and comprehensive care management services to individuals.

Populations of focus

ECM is designed to assist the following populations of focus:

• Individuals experiencing homelessness
• Individuals at risk for hospitalization or emergency services
• Individuals with serious mental health and substance issues
• Adults at risk for long-term care
• Adult nursing facility residents transitioning to the community
• Individuals transitioning from incarceration
• Children and youth enrolled in California Children’s Services (CCS)

More information:

• For information about becoming an ECM provider, email CalAIMReferrals@anthem.com.
• To refer a member for ECM services:
• Review the CalAIM Enhanced Care Management Member Referral Form.
• Call the Medi-Cal Customer Care Center at 800-407-4627 (TTY 711) or 888-825-7801 (TTY 711) for members in Los Angeles County.
• For additional resources, visit the Community Resources Link.

Learn more about Anthem programs on our website. Working together — we can make a difference!