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.
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
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.
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
- All Plan letters
DHCS toolkits for ECM/CS
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.
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