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,...

Optimizing Handoffs For In-person and Virtual Services

by laurakrupar | Jul 12, 2024 | Uncategorized

This resource offers guidelines on optimizing warm handoffs for both in-person and virtual integrated care services, highlighting approaches to ensure effective coordination and transitions between providers.