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ECM/CS: pushing the boundaries of traditional health care

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Enhanced Care Management (ECM) and Community Supports (CS) are designed to be a set of intensive care coordination services that incorporate multiple delivery systems to provide a person-centered approach to care. These benefits support both the clinical and non-clinical aspects of care for the highest-need Medi-Cal members.

With the provision of ECM and CS being anchored in the community, CBOs and community partners play an integral role in the success of these programs. The goal of these services is to be delivered in an in-person manner by community-based providers, to the greatest extent possible. The design of the ECM and CS benefits is to acknowledge the importance of providers working together within a community to identify the needs of members and work towards a more holistic community approach to care. CBOs and community partners are involved in not only servicing members, but identifying members who may benefit from services, discussing new initiatives to support the programs, formulating plans for data sharing and identifying best practices to ensure members can successfully receive the full benefit of these services.

ECM and CS as new initiatives have pushed the boundaries of a traditional health care delivery approach to begin incorporating the impact of Social Determinants of Health and acknowledge the importance of partnerships amongst local MCPs, CBOs and community providers to provide quality accessible care and support for improved health outcomes for the highest-risk members.

If you are interested in becoming a Community Supports provider, please reach out to us at [email protected].

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