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Check Your Eligibility

Find out if you or a loved one qualifies for Enhanced Care Management (ECM). We work exclusively with Medi-Cal members enrolled in Anthem Blue Cross or Kaiser Permanente across Los Angeles, Orange, San Bernardino, and Riverside counties.

ECM participation is voluntary. You may opt out of Enhanced Care Management at any time by contacting your Care Manager or your Medi-Cal health plan. ECM services are available to eligible Medi-Cal Managed Care members and are subject to health plan authorization and Population of Focus criteria.

What We Look At

Eligibility Criteria

Our programs are designed to serve those who need support most. Here are the key factors we consider.

Adult Populations of Focus

Dignity ADHC ECM is contracted to serve adult populations of focus. Eligibility is based on the specific populations of focus covered by your Medi-Cal health plan.

Required

Medi-Cal Health Plan

You must be an active Medi-Cal member enrolled with Anthem Blue Cross or Kaiser Permanente. We do not serve members of other plans.

Required

County of Residence

We serve Los Angeles, Orange, San Bernardino, and Riverside counties. You must reside in one of these four counties.

Required

Population of Focus

ECM is for Medi-Cal members with complex health and social needs. Your plan identifies ECM populations of focus — see the list below.

Required

Active Medi-Cal Coverage

You must be an active Medi-Cal member. ECM is a covered benefit of your Medi-Cal managed care plan.

Required

Referral Pathway

Members can be identified by their health plan, self-refer, or be referred by a provider. Dignity ADHC ECM may assist with screening and referral; your health plan determines final ECM eligibility and authorization.

Varies by Plan
Populations of Focus

ECM Populations of Focus

The Department of Health Care Services (DHCS) defines these populations for ECM. Each health plan confirms eligibility based on the plan's specific populations of focus.

Anthem Blue Cross (Medi-Cal)

Severe mental illness (SMI), substance use disorder (SUD), at risk of long-term care institutionalization, and high utilizers of care.

Kaiser Permanente (Medi-Cal)

Individuals and families experiencing homelessness, individuals at risk for avoidable hospital or ED utilization, individuals with serious mental health and/or SUD needs, adults at risk for long-term care institutionalization, adult nursing facility residents transitioning to the community, and birth equity (pregnant and postpartum individuals).

Quick Eligibility Check

Fill out the form below and we will let you know which services you may qualify for.

Your Information

All fields marked with * are required. Your information is kept confidential.

Note: Submission of a referral or eligibility request does not guarantee enrollment in ECM services. Eligibility and health plan authorization requirements apply. Participation in ECM is voluntary — members may choose to enroll or disenroll at any time.

Ready to Meet Your Care Manager?

If you're a Medi-Cal member with Anthem Blue Cross or Kaiser Permanente, check your eligibility and get paired with a dedicated Care Manager.