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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.

What We Look At

Eligibility Criteria

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

Age Requirement

You must be 18 years of age or older to enroll in Enhanced Care Management with us.

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. We'll work with your plan to confirm eligibility.

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, high utilizers, and individuals/families experiencing homelessness.

Kaiser Permanente (Medi-Cal)

Individuals/families experiencing homelessness, birth equity, pregnancy/postpartum, high utilizers, and members with SMI.

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.

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.