Medical Case Management (for Medi-Cal beneficiaries)

Effective May 1, 2011, the Medical Case Management (MCM) program in the Department of Health Care Services (DHCS) fee-for-service Medi-Cal program will no longer function as a distinct entity. MCM will be incorporated into the existing utilization management program currently provided by the local Medi-Cal field offices located in the following cities:

• Los Angeles
• Sacramento
• San Bernardino
• San Diego
• San Francisco

Providers are encouraged to contact their local Medi-Cal field office if assistance is needed in facilitating a Medi-Cal beneficiaries’ hospital discharge to a home or community-based setting. The local Field Office Administrator will coordinate the provision of medically necessary services available through Medi-Cal to ensure timely and safe hospital discharges.