ECM
Enhanced Care Management (ECM)
Enhanced Care Management stands as a pivotal Medi-Cal benefit accessible across the state, catering specifically to members grappling with complex needs. Through this program, enrolled individuals gain access to a dedicated lead care manager who orchestrates a seamless network of healthcare and social services. It is especially beneficial for people battling SMI (Serious Mental Illness) and SUD (Subtsance Use Disorder).
Our Enhanced Care Management program ensures that individuals with complex needs receive the holistic support and coordination necessary to navigate their healthcare journey effectively.
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Case Study - Faces of Medi-Cal’s Transformation: Meet Frank
Frank has struggled with opioid addiction while living on the streets of San Francisco for the past four years. Frank visited the emergency department seven times in the last two years because of overdoses, and he returns to the streets after brief stays in shelters. In 2020, Frank contracted COVID-19 and continues to experience long-term symptoms. In the emergency department, Frank was referred to Enhanced Care Management due to his substance use disorder. Frank was put in contact with an Enhanced Care Management lead care manager to better convey his needs. They regularly met at a nearby food bank and together came up with a plan for him to see his mental health provider, get his medication adjusted and follow up with his primary care doctor. The lead care manager also connected Frank with a local Community Support provider to help him secure safe, supportive housing.
