Transformation Of Medi-Cal: Community Supports

by laurakrupar | Oct 28, 2024 | Uncategorized

This resource outlines the Community Supports offered by Medi-Cal managed care plans (MCPs) to address health-related social needs for Medi-Cal members. These services aim to help members live healthier lives and avoid higher levels of care by providing various...

Enhanced Care Management for Long-Term Care Populations: A Population of Focus Spotlight

by laurakrupar | Oct 28, 2024 | Guides/Handbooks

This resource outlines how Enhanced Care Management (ECM) supports adults at risk of entering long-term care settings by providing intensive care management to help them safely remain in the community. 

ECM and Community Supports HCPCS Coding Guidance

by laurakrupar | Jul 18, 2024 | Uncategorized

This resource outlines standardized HCPCS codes and billing guidelines for Enhanced Care Management (ECM) and Community Supports under the Medi-Cal program, aimed at facilitating data exchange and reducing administrative burdens for Managed Care Plans (MCPs) and...

Calaim Enhanced Care Management Policy Guide

by laurakrupar | Jul 18, 2024 | Guides/Handbooks

This resource covers various aspects of Enhanced Care Management (ECM), including its definition, implementation timeline, target populations, core service components, program overlaps and exclusions, provider network, member engagement, data requirements, and...

Enhanced Care Management and Community Supports (formerly “In Lieu of Services”) Provider Standard Terms and Conditions

by laurakrupar | Jul 18, 2024 | Uncategorized

This resource is a detailed set of terms and conditions for providers delivering Enhanced Care Management (ECM) and Community Supports under Medi-Cal. It outlines the requirements, responsibilities, and operational guidelines for providers to ensure comprehensive,...