• Skip to main content
Skip to content
  • Find a Provider
  • Find a Doctor
  • Nurse Line
  • Nurse Line
  • Provider Portal
  • Contact Us
  • aA Accessibility Tools

    GrayscaleAAA

  • English
  • Spanish
English
English Spanish Hmong Chinese Portuguese Russian Tagalog Korean Persian Panjabi
Central California Alliance for Health 30th Anniversary Logo
  • Health Plans
    • Medi-CalMedi-Cal is California’s Medicaid health care program that provides no-cost or low-cost health insurance to Californians.
    • Alliance TotalCare (HMO D-SNP)The Alliance’s TotalCare HMO D-SNP is a special type of Medicare Advantage plan that is available to individuals who are enrolled in BOTH Medi-Cal and Medicare Parts A and B and live in our service area.
    • Alliance Care IHSSAlliance Care IHSS is a health plan for persons who provide in-home support services in Monterey County.
  • For TotalCare Members
    • Get Started
      • About Your Health Plan
        • Medicare and D-SNP Basics
      • Find a Provider
      • List of Covered Drugs
      • Member Materials
        • Summary of Benefits
        • Quick-start Plan Guide
        • Evidence of Coverage (Member Handbook)
        • Provider and Pharmacy Directory
        • Enrollment Form
        • Disenrollment Form
        • Authorization for Release of Protected Health Information Form
        • Grievances and Appeals Downloadable Form
      • How to Enroll in TotalCare
      • Member ID Card
    • Access Benefits
      • Primary Care
        • Approvals for Care
      • Dental and Vision
      • Prescription Drugs and Pharmacies
        • Medication Therapy Management Program
        • Opioid Information
        • Prescription Drug Transition Policy
      • Urgent Care and Emergency Services
        • Urgent Care Mariposa County
        • Urgent Care Merced County
        • Urgent Care Monterey County
        • Urgent Care San Benito County
        • Urgent Care Santa Cruz County
        • What to Do After the Emergency Room
      • Flexible Spending Card
      • Silver&Fit Fitness Program
      • Behavioral Health
      • Care Management and Coordination
        • Care Management
        • California Integrated Care Management (CICM)
        • Community Supports
        • Community-Based Adult Services
      • Transportation Services
      • Other Benefits and Services
    • Member Resources
      • Nurse Advice Line
      • Language Assistance Services
      • File a Grievance or Appeal
      • What to Do in a Disaster or Emergency
      • Wellness Support
      • Member News
    • Online Self-Service
      • Access Your Health Information
      • Order Materials or Replacement ID Card
      • Choose/Change Primary Care Provider
      • Update Contact Information
      • Member Reimbursement Claim Form
      • Appointment of Representative
      • Authorization to Disclose Health Information
      • Privacy Request
      • My Health Member Online Account
        • Create My Health Member Online Account
        • Recover My Health Member Online Account
        • Using the TotalCare My Health Member Portal
        • TotalCare My Health Member Portal
      • Find a Form
  • For Medi-Cal Members
    • Get Started
      • Member ID Card
      • Find a Doctor
        • Alliance Alternative Access Standards
      • About Your Health Plan
      • Frequently Asked Questions
    • Get Care
      • Primary Care
        • Approvals for Care
      • Nurse Advice Line
      • Prescriptions
        • Medi-Cal Prescriptions
        • Alliance Care IHSS Prescriptions
        • Medications and Your Health
      • Urgent Care
        • Urgent Visit Access – Mariposa County
        • Urgent Visit Access – Merced County
        • Urgent Visit Access – Monterey County
        • Urgent Visit Access – San Benito County
        • Urgent Visit Access – Santa Cruz County
        • What to do after the emergency room: Your action plan
      • Care Management for Members
      • Behavioral Health
      • Transportation Services
      • Enhanced Care Management and Community Supports
      • Other Services
        • Community Health Worker Services
        • Dental and Vision
        • Family Planning
        • Medical Equipment
        • Out-of-Area Services
        • Telehealth
    • Member Services
      • Access Your Health Information
      • COVID-19 Information
        • General COVID-19 Information
        • COVID-19 Testing and Treatment
        • COVID-19 Vaccine Information
      • Language Assistance
      • File a Grievance
      • California Children’s Services
      • Join an Advisory Group
        • Member Services Advisory Group (MSAG)
          • Member Services Advisory Group Application
        • Whole Child Model Family Advisory Committee (WCMFAC)
      • Member News
      • Prepare for an Emergency
    • Online Self-Service
      • Replace ID Card
      • Choose Primary Doctor
      • Insurance Information
      • Update Contact Information
        • Information Release
        • Privacy Request
        • Request Personal Representative
      • Member Reimbursement Claim Form
      • Confidential Communications Request Form
      • My Health Member Portal Login
        • Create Member Online Account
        • Recover Member Online Account
        • Using the Member Portal
        • My Health Member Portal
      • Find a Form
    • Health and Wellness
      • Health Rewards Program
      • Wellness Resources
  • For Providers
    • Join Our Network
      • Why Join
      • How to Join
      • Become a TotalCare (HMO D-SNP) Provider
    • Manage Care
      • Behavioral Health
      • California Children’s Services
      • Clinical Resources
        • Care Management
          • Complex Case Management and Care Coordination
          • Pain Management and Substance Use Resources
          • Seniors and Disabilities
          • TotalCare Care Management and Coordination
        • Nurse Advice Line
        • Referrals and Authorizations
        • Telehealth Services
        • Clinical Practice Guidelines
      • Cultural and Linguistic Services
        • Interpreter Request Form
        • Smart Interpreter Request Form
        • Interpreter Services Provider Quick Reference Guide
        • Interpreter Services Quality Assurance Form
        • A to Z Glossary of Spanish & Hmong Terms
      • Enhanced Care Management and Community Supports
        • Enhanced Care Management (ECM)
        • Community Supports (CS)
        • ECM/CS Referrals
        • ECM/CS Trainings
        • ECM/CS FAQs
      • Health Education and Disease Management
        • Health Education Programs
        • Disease Management Programs
        • Health Resources
        • TotalCare Health and Wellness Programs
      • Pharmacy
        • Medi-Cal Pharmacy
        • TotalCare (HMO D-SNP) Pharmacy
        • Alliance Care IHSS Pharmacy
        • Physician-Administered Drugs (for Medi-Cal and IHSS)
        • Drug Recalls and Withdrawals
        • Additional Pharmacy Information
      • Quality of Care
        • Provider Incentives
          • Care-Based Incentive
            • Care-Based Incentive Resources
              • Care-Based Incentive (CBI) Summary
              • CBI Technical Specifications
              • Antidepressant Medication Management Tip Sheet
              • Immunizations: Adult – Exploratory Measure Tip Sheet
              • Immunizations: Adolescents Tip Sheet
              • Programmatic Measure Benchmarks
              • Asthma Medication Ratio Tip Sheet
              • 90-Day Referral Completion – Exploratory Tip Sheet
              • Antidepressant Medication Management Tip Sheet
              • Application of Dental Fluoride Varnish Tip Sheet
              • Immunizations: Children (Combo 10) Tip Sheet
              • Chlamydia Screening Tip Sheet
              • Child and Adolescent Well-Care Visits Tip Sheet
              • Cervical Cancer Screening Tip Sheet
              • Child and Adolescents BMI Assessment Tip Sheet
              • Breast Cancer Screening Tip Sheet
              • Well-Child Visits in the First 15 Months of Life Tip Sheet
              • Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet
              • Preventable Emergency Visits Tip Sheet
              • Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet
              • Maternity Care: Prenatal Tip Sheet
              • Maternity Care: Postpartum Tip Sheet
              • Plan All-Cause Readmissions Tip Sheet
              • Lead Screening in Children Tip Sheet
              • Initial Health Appointment Tip Sheet
              • Diabetic HbA1c Poor Control >9% Tip Sheet
              • Developmental Screening in the First 3 Years Tip Sheet
              • Controlling High Blood Pressure Tip Sheet
              • Immunizations: Children (Combo 10) Tip Sheet
              • Best Practices for Reducing Patient No-Shows Tip Sheet
              • Ambulatory Care Sensitive Admissions Tip Sheet
              • Depression Tool Kit
              • USPSTF Recommendations for Primary Care Practice
              • Preventable Emergency Visits Diagnoses Tip Sheet
              • Blood Lead Testing Flyer
              • Adverse Childhood Experiences (ACEs) Screening in Children and Adolescents Tip Sheet
              • Depression Screening for Adolescents and Adults Tip Sheet
          • Data Sharing Incentive
          • Skilled Nursing Facility Workforce and Quality Incentive Program (WQIP)
            • Skilled Nursing Facility Workforce and Quality Incentive Program Provider FAQs
        • Health Assessments
        • HEDIS
          • HEDIS Resources
            • HEDIS Code Set
            • HEDIS FAQ Guide
        • Immunization Resources
        • Member Incentives
        • CAHPS – Member Experience
        • Site Reviews
          • Facility Site Review
            • Infection Control: Spore Testing Job Aid
            • DHCS Facility Site Review (FSR) Checklist
            • FSR Critical Elements: Interim Monitoring Form
          • Medical Record Review
            • DHCS Medical Record Review (MRR) Checklist
          • Physical Accessibility Review Survey
        • TotalCare Model of Care
        • TotalCare Medicare Advantage Star Ratings Program
    • Resources
      • Medi-Cal Redetermination Tool Kit
      • COVID-19
      • Claims
        • View/Submit a Claim
      • Forms
        • Provider Directory Update Form
      • Provider Credentialing Applications and Policies
        • Re-Credentialing
      • News
      • Provider Directory
      • Provider Manual
        • All Plan Letters
      • Timely Access to Care
      • Webinars and Training
        • Provider Events Calendar
        • Provider DEIB Training
      • Emergency Preparedness
    • Provider Portal
      • Using the Provider Portal
        • Frequently Asked Questions
        • Provider Portal User Guide
        • Provider Portal Quick Reference
        • Provider Portal Account Request Form
        • Procedure Code Lookup Tool (PCL)
    • Get support for the transition to TotalCare (HMO D-SNP)Find resources to help transition eligible members from separate Medicare and Medi-Cal coverage to TotalCare.
  • For Communities
    • Healthy Communities
      • Your Health Matters
      • Community Events
      • Community-Based Adult Services
      • Community Health Worker Benefit
      • Community Resources
      • Doula Services Benefit
      • Enhanced Care Management and Community Supports
    • Funding Opportunities
      • Medi-Cal Capacity Grants
        • Access to Care
          • Capital Program
          • Data Sharing Support Program
          • Equity Learning for Health Professionals Program
          • Healthcare Technology Program
          • Workforce Recruitment Programs
            • CHW Recruitment Program
            • Doula Recruitment Program
            • MA Recruitment Program
            • Provider Recruitment Program
        • Healthy Beginnings
          • Home Visiting Program
          • Parent Education and Support Program
        • Healthy Communities
          • Community Health Champions
          • Partners for Active Living Program
        • How to Apply
        • Grants at Work
      • Alliance Housing Fund
      • Other Funding Opportunities
    • Community Publications
      • Community Impact Reports
      • Community Health Assessments and Community Health Improvement Plans
      • The Beat E-Newsletter
    • See how we’re building healthier communitiesRead the 2026 Community Impact Report to learn how the Alliance invested $44.9 million in 2025.
  • About Us
    • About the Alliance
      • Fact Sheet
        • Medi-Cal Fast Facts
      • Mission, Vision and Values
      • Strategic Plan 2022-2026
      • Leadership
      • Public Meetings
      • Regulatory Information
      • Careers
      • Contact Us
    • News
      • Community News
      • Medi-Cal Member News
      • Provider News
      • Meetings and Events
      • Newsroom
    • Compliance Information
      • Regulatory Information
      • Compliance Resources
      • FDR Compliance Resources
      • Developer Resources
        • Developer Application
        • Developer Questionnaire
        • Developer Portal
      • Transparency in Coverage (CMS 9915) Machine Readable Files
    • Community impact in actionSee how the Alliance strengthened access to care, expanded the health care workforce and partnered with local organizations.
Web-Site-InteriorPage-ForCommunities
Home > For Communities > Healthy Communities > Enhanced Care Management and Community Supports

Healthy Communities

Enhanced Care Management and Community Supports

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, community-based organizations (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 not only in 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.

As new initiatives, ECM and CS 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 Medi-Cal managed care plans, CBOs and community providers to provide quality accessible care and support for improved health outcomes for the highest-risk members.

Learn more on our Enhanced Care Management and Community Supports page for providers.

Expand All
Questions about ECM or Community Supports?

Please contact the Alliance ECM team at 831-430-5512 or [email protected].

If your organization is interested in becoming an ECM or Community Supports provider, please email the Alliance at [email protected].

Funding for ECM/CS Infrastructure and Capacity Building

CalAIM Incentive Payment Program

The Alliance administers the CalAIM Incentive Payment Program (IPP), a DHCS incentive program, to support the development of a robust local Medi-Cal network to address gaps and build infrastructure and capacity for Enhanced Care Management (ECM) and Community Supports (CS) services.

 Learn more about the status of the program on the Other Funding Opportunities in the Medi-Cal Delivery System page.

If you have questions, please email the Alliance at [email protected].

Capacity and Infrastructure Transition, Expansion and Development (CITED) Initiative

CITED is a grant program administered by DHCS that provides funding to enable the transition, expansion and development of ECM and Community Supports capacity and infrastructure. CITED applicants must be contracted with a managed care plan for ECM and/or Community Supports services and are encouraged to coordinate applications with local organizations they contract with or intend to contract with to provide ECM and/or Community Supports services. Applicants who wish to receive CITED funding must submit an application indicating how they intend to use CITED funding. For more information, visit the DHCS page on CITED. 

Resources from DHCS and the Alliance

There are several guides, trainings and toolkits to help providers understand and implement ECM and CS.

DHCS guidance, policies and letters for ECM/CS

  • DHCS CalAIM ECM and Community Supports webpage
  • DHCS ECM and CS Standard Provider Terms and Conditions
  • Policy guides
    • DHCS CalAim Enhanced Care Management Policy Guide
    • DHCS Medi-Cal Community Supports Policy Guide
  • All Plan letters
    • APL 21-017: Community Supports Requirements
    • APL 21-009: Collecting Social Determinants of Health (SDOH) Data

 DHCS toolkits for ECM/CS

  • ECM Provider Toolkit
  • Community Supports Explainer
  • ECM Outreach Toolkit
  • ECM Member Toolkit

Alliance provider resources for ECM/CS

  • Provider Webinars and Trainings – Select “ECM-Community Supports” from the dropdown menu to display all the various trainings.
  • ECM/CS Invoice FAQ
  • Job Aid: Providers Invoice Roll-Up Billing
  • Job Aid: Providers CMS Roll-Up Billing

Stakeholder resources

  • Get Ready: A Contracting Best Practices Guide for Becoming a Medicaid Community Supports Provider
  • ITUP Resource: Engaging with CalAIM - Quick Links for CBOs
  • HealthBegins CalAIM Links: Technical Assistance and Resources for Community Supports Providers
  • HIPSC/ITUP/Mission Merced Collaboration: Seizing Opportunity Bringing Community into CalAIM

Contact the Alliance

  • Phone (Toll free): 800-700-3874
  • Community Care Coordination Department: 800-700-3874, ext. 5512

Call First

Always contact the agency or organization first to make sure the information is current. You can also call 211 to get current information about resources near you.

Latest Community News

Alliance recognized for outstanding performance

Alliance recognized for outstanding performance

January 30, 2026
The Alliance’s efforts to support local food banks

The Alliance’s efforts to support local food banks

January 29, 2026
Medi-Cal changes are here. Help the community keep coverage.

Medi-Cal changes are here. Help the community keep coverage.

January 29, 2026
A place to heal: New recovery center opens

A place to heal: New recovery center opens

January 29, 2026
Alliance celebrates 30 years

Alliance celebrates 30 years

January 29, 2026

Contact us | Toll free: 800-700-3874

Button - Go To Page Top
Central California Alliance for Health Logo

Get Help

  • Nurse Advice Line
  • Nurse Advice Line
  • Language Assistance
  • Language Assistance
  • Care Management and Coordination
  • Frequently Asked Questions

Member Resources

  • GRIEVANCE FORM
  • Member Handbook
  • Health Rewards Program
  • Medi-Cal Continuity of Care Policy
  • IHSS Continuity of Care Policy
  • Grievances and Appeals
  • Member Handbook
  • Summary of Benefits
  • Medicare Complaint Form

The Alliance

  • Careers
  • Contact Us
  • Report Compliance or Fraud Concern
  • Report Compliance or Fraud Concern

Accessibility Tools

AAA

Healthy people. Healthy communities.
  • Glossary of Terms
  • Privacy Policy
  • Terms and Conditions
  • Nondiscrimination Notice
  • Nondiscrimination Notice
  • Notice of Privacy Practices
  • Regulatory Information
  • Site Map
Connect on LinkedIn
Connect on Facebook
NCQA Health Plan Accredited and NCQA Health Equity Accredited - Medicaid HMO Logos

© 2026 Central California Alliance for Health | Website Feedback