Community-based organizations (CBOs) are in a unique position to identify Alliance members’ needs. The Department of Health Care Services (DHCS) has highlighted how important it is for managed care plans like the Alliance to source most Enhanced Care Management and Community Supports (ECM/CS) referrals from community providers.
As part of CalAIM, ECM/CS services coordinate both the clinical and non-clinical aspects of care for the highest need Medi-Cal members and serve as cost-effective alternatives to covered Medi-Cal services.
To continue effective implementation of this important CalAIM work, the Alliance is working to support successful referrals from community providers by participating in closed-loop referral systems.
A closed-loop referral consists of the following elements:
- Referring members to community resources.
- Following up with members to ensure services were rendered.
If you are an ECM/CS provider or community partner, we encourage you to sign up with the identified closed loop referral system platform within your county to support these efforts. Merced and Santa Cruz counties use Unite Us and Monterey County uses the Smart Referral Network.
If you have questions, please contact the Alliance ECM team at 831-430-5512 or [email protected].
For more information on ECM/CS services for Alliance members, including provider trainings and referral forms and directions, visit our website.
