WHAT IS ECM?
ECM offers extra services at no cost to Medi-Cal members who have complex needs and challenges that make it difficult to improve their health. This could include health conditions or challenges such as not having a place to live.
How Can ECM Help You?
If you qualify, ECM will give you health care services and other help to meet your needs. You will have a team that helps you with things like:
• Making a plan to get the care you need
• Finding doctors or other health care providers and making appointments
• Keeping all of your health care providers updated about your health needs and wishes
• Connecting you to community and social services that you need (like food or in-home support)
These extra services are offered as part of your current Medi-Cal plan. The Medi-Cal services you get now will not be taken away. You can still see your same doctors, but now you can get extra help.
ECM is for Medi-Cal Managed Care Health Plan Members. You must be enrolled in a Medi-Cal health plan to access ECM services. If you need help enrolling into a Medi-Cal health plan, you can call Health Care Options at 1-800-430-4263.
How Do Qualified Medi-Cal Members Access ECM Services?
There are three ways to access ECM Services:
Your doctor, your Medi-Cal health plan, or another health care provider may contact you.
Your doctor might let your Medi-Cal health plan know that you may qualify.
You can call your Medi-Cal health plan for information and to see if you qualify.
To learn more about ECM:
1. Call your Medi-Cal health plan. To find the phone number, check your MediCal ID card or go to bit.ly/plandirectory and click on your county.
2. Call Health Care Options at 1-800-430-4263 (TTY 1-800-430-7077).
3. Ask your doctor or clinic about the benefit.
