Answers to common questions about Enhanced Care Management (ECM) — what it is, who qualifies, and how your Care Manager supports you.
Each member is paired with their own dedicated Care Manager. Your Care Manager:
To be eligible, you must be:
Your Medi-Cal plan can identify you for ECM, or you can ask your plan or provider for a referral. Contact us and we'll help you find out.
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).
Your plan confirms population-of-focus eligibility at referral.
ECM is a care coordination program — it is not a licensed mental health treatment provider. Specifically, ECM does not:
What ECM does do is coordinate and connect — your Lead Care Manager works across your providers, your plan, and community resources so the right services reach you.
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.