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, 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.
Your plan confirms population-of-focus eligibility at referral.
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.