Manejo Mejorado del Cuidado (Enhanced Care Management; ECM por sus siglas en inglés) y Apoyos Comunitarios (Community Supports)
Enhanced Care Management (ECM) and Community Supports 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 refer a member to ECM/CS services, visit our ECM/CS referral page.
ECM is a Medi-Cal benefit administered by DHCS. ECM providers deliver:
- Comprehensive care management.
- Care coordination.
- Health promotion.
- Comprehensive transitional care.
- Individual and family support services.
- Referrals to community social supports.
Community Supports (CS) are community-based services that address health-related social needs. Medi-Cal managed care health plans may offer these alternative services to their members to avoid hospital care, nursing facility care, visits to the emergency department or other costly services.
The Alliance offers Enhanced Care Management and Community Supports trainings for providers. You can attend a live training or watch a recorded training.
How do members access ECM or Community Supports services?
There are three ways members can access ECM or Community Supports services:
- The Alliance or an ECM or Community Supports provider may contact members directly if they qualify.
- Members or a member’s family member can self-refer or ask for information to see if they qualify. Alliance members can call the Alliance Member Services Department at 800-700-3874 from 8 a.m. to 5:30 p.m., Monday through Friday.
- Providers or requesting entities may submit an ECM or Community Supports referral to the Alliance.
Financiamiento para la infraestructura y capacidad de construcción del ECM y los CS
Recursos de proveedores de la Alianza para el ECM y los CS
Invoices and billing
- Preguntas frecuentes de facturas del ECM y los CS
- Providers Invoice Roll-Up Billing
- Providers CMS Roll-Up Billing
DHCS resources for ECM/CS
Existen varias guías, capacitaciones y herramientas para ayudar a los proveedores a entender e implementar el ECM y los CS.
- Página web del ECM y los Apoyos Comunitarios de CalAIM del DHCS
- Términos y condiciones estándar del proveedor del ECM y los CS del DHCS
- APL 21-009: Recolección de datos de Determinantes Sociales de Salud (Social Determinants of Health; SDOH, por sus siglas en inglés)
ECM/CS Contact Information
Alliance ECM team
Phone: 831-430-5512
Envíe un correo electrónico a [email protected]
Interested in becoming an ECM or CS provider? Email us at [email protected].
