California Integrated Care Management (CICM)

You may be automatically enrolled in CICM if you are part of one or more of these groups:

• You were recently in the hospital or a nursing home.
• You’ve gone to the emergency room or hospital many times.
• You don’t have stable housing or are experiencing homelessness.
• You have a serious mental illness (SMI) or substance use disorder (SUD).
• You have a learning or developmental disability.
• You have more than one ongoing health problem (like diabetes or heart disease).
• You get long-term care services and supports at home (like In-Home Supportive Services).
• You are very weak, get palliative care or might need to move into a nursing home.

Even if you are not automatically enrolled, you or your provider can ask to be evaluated for CICM at any time.

• Automatic enrollment: If you qualify, you may be signed up for CICM automatically. We will let you know if this happens.
• Referral-based enrollment: You, your caregiver or your doctor can ask us to see if CICM is right for you.

CICM is your choice. You can stop getting care management help at any time. If you stop using CICM, it won’t change your TotalCare plan or the benefits you get.