Enhanced Care Management and 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].

CalAIM Incentive Payment Program. Implementation of Enhanced Care Management and Community Supports requires significant investments in care management capabilities, infrastructure, information technology and data exchange, and workforce capacity at both the managed care plan and provider levels.

The DHCS CalAIM Incentive Program (IPP) is a component of CalAIM to support the development of a robust Medi-Cal network to deliver ECM and Community Supports services.  

• The Alliance is administering this incentive funding to support our local provider network to address gaps and build infrastructure and capacity for ECM and Community Supports services.
• IPP cannot overlap with other DHCS incentive funding for ECM and Community Supports, such as CITED (see below).
• To facilitate incentive funding, the Alliance is intaking information from providers about their identified infrastructure and capacity needs via the ECM/CS Certification Tool. 
• For questions, contact us 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. 

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