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​​​​Enhanced Care Management and Community Supports

​Medi-Cal Transformation​​​​​

Enhanced Care Management (ECM) and Community Supports are foundational parts of the transformation of Medi-Cal focused on:

  • Breaking down the traditional walls of health care, extending beyond hospitals and health care settings into communities; 
  • Introducing a better way to coordinate care; and
  • Providing high-need members with in-person care management where they live.

What this change ​means for Californians

ECM is a new statewide Medi-Cal benefit available to eligible members with complex needs, including:

  • Access to a single Lead Care Manager who provides comprehensive care management and coordinates their health and health-related care and services.
  • Connections to the quality care they need, no matter where members seek care—​at the doctor, the dentist, with a social worker, or at a community center.
  • Reference the ECM Provider Toolkit​ to help you navigate this new benefit for your patients.
Community Supports are services that help address members’ health-related needs, help them live healthier lives, and avoid higher, costlier levels of care. Examples include:
  • Housing transition and navigation services to secure housing
  • Access to medically tailored meals and medically supportive food to manage nutrition-sensitive health conditions.
  • Asthma remediation to remove in-home environmental triggers​​

These services are available to eligible Medi-Cal members regardless of whether they qualify for ECM services. All Medi-Cal managed care plans (MCPs) are encouraged to offer as many of the 14 pre-approved Community Supports as possible.​ See which services are offered in your county​.

New Community Supports data sh​ows improving outcomes and reduced costs. View the fact sheet to learn more​.

Last modified date: 7/3/2025 10:16 AM