Enhanced Care Management (ECM) is a Medi-Cal benefit program in California that provides whole-person, intensive care coordination for individuals with complex medical and social needs. It is designed to ensure that patients receive the right care, at the right time, in the right setting — especially those who face barriers to health such as homelessness, behavioral health conditions, or chronic illnesses.

Purpose

ECM helps bridge gaps in care by connecting patients to medical, behavioral, and social services. The goal is to improve health outcomes, reduce hospitalizations, and support long-term wellness and stability.

How It Works

An ECM provider (like a clinic, community-based organization, or care management agency) assigns a Care Team that coordinates across all settings:

• Primary care and specialists

• Behavioral health providers

• Hospitals and emergency departments

• Social service agencies (housing, food, transportation, etc.)

The care team typically includes:

• Registered Nurses (RNs) or Licensed Vocational Nurses (LVNs)

• Behavioral health clinicians

• Community Health Workers or Care Coordinators

• Social Workers