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Home > For Providers > Manage Care > Enhanced Care Management (ECM) and Community Supports Provider Information

Manage Care

Enhanced Care Management (ECM) and 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.

Community Supports

Enhanced Care Management (ECM)

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.
Learn more
ECM information for providers

Community Supports (CS)

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.

Learn more
ECM/CS Training

ECM/CS Trainings

The Alliance offers Enhanced Care Management and Community Supports trainings for providers. You can attend a live training or watch a recorded training.

Learn more

How do members access ECM or Community Supports services?

There are three ways members can access ECM or Community Supports services:

  1. The Alliance or an ECM or Community Supports provider may contact members directly if they qualify.
  2. 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.
  3. Providers or requesting entities may submit an ECM or Community Supports referral to the Alliance.

Funding for ECM/CS Infrastructure and Capacity Building

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.

IPP funding for Santa Cruz and Monterey counties has been expended. We are no longer accepting IPP funding proposals from ECM/CS providers in these counties.

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. Find more information on the DHCS website.

Alliance provider resources for ECM/CS

Invoices and billing

  • ECM/CS Invoice FAQ
  • Providers Invoice Roll-Up Billing
  • Providers CMS Roll-Up Billing

DHCS resources for ECM/CS

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

  • DHCS CalAIM ECM and Community Supports webpage
  • DHCS ECM and CS Standard Provider Terms and Conditions
  • APL 21-009: Collecting Social Determinants of Health (SDOH) Data

 

ECM/CS Contact Information

Alliance ECM team
Phone: 831-430-5512
Email [email protected]

Interested in becoming an ECM or CS provider? Email us at [email protected].

ECM/CS Resources

  • Refer members to ECM/CS
  • Training
  • FAQs
  • PATH Collaborative Meetings
  • DHCS On-Demand Resource Library

ECM/CS Provider Directory

  • Mariposa and Merced Counties
  • Monterey and Santa Cruz Counties
  • San Benito County

Contact us | Toll free: 800-700-3874

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