This is the heart of Enhanced Care Management. Each member is paired with a dedicated Care Manager who knows their story, builds a whole-person plan around them, and advocates for them at every step — with providers, with their health plan, and through every transition of care.
Your Care Manager is your single point of contact across a fragmented healthcare system. They take the time to know you — your medical history, your goals, your home life, your barriers — and then build a person-centered plan around you, not around a single diagnosis. They speak up for you with providers, your health plan, and community partners so the right care and resources actually show up.
Enhanced Care Management is built around seven core services. Your Care Manager delivers them as one coordinated experience: (1) outreach and engagement, (2) comprehensive assessment and care management plan, (3) enhanced care coordination, (4) health promotion, (5) comprehensive transitional care, (6) member and family supports, and (7) coordination of and referral to community and social support services.
We serve Medi-Cal members with Anthem Blue Cross or Kaiser Permanente who qualify under ECM populations of focus — groups the state has identified as needing high-touch care coordination.
Members experiencing homelessness or housing instability (a Kaiser Permanente population of focus), and members with frequent ED visits or hospital stays who need stronger day-to-day coordination.
Adults with serious mental illness or substance use disorder, and members at risk of entering or being transitioned out of long-term care or nursing facilities.
Members who are pregnant or postpartum, including members supported through Kaiser Permanente's birth equity population of focus.
Check that you are a Medi-Cal member with Anthem Blue Cross or Kaiser Permanente and fit one of the ECM populations of focus.
Once enrolled, you are matched with a dedicated Care Manager who learns your full story — medical, social, and personal.
Your Care Manager partners with you — and your family if you choose — to create and refine a person-centered care plan built around your goals.
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.
