​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Enhanced Care Management and In Lieu of Services​

Enhanced Care Management (ECM) and In Lieu of Services (ILOS) are foundational components of CalAIM. ECM will be a whole-person, interdisciplinary approach to comprehensive care management that addresses the clinical and non-clinical needs of high-cost, high-need managed care members through systematic coordination of services that is community-based, interdisciplinary, high-touch, and person-centered. ILOS are medically appropriate and cost-effective alternatives to services covered under the State Plan. ILOS are optional services for Medi-Cal managed care plans (MCPs) to provide and are optional for managed care members.

ECM and ILOS are ambitious reforms with implementation​ beginning in January 2022. This landing page will serve as the centralized repository for the most up-to-date information about ECM and ILOS. Please submit questions about ECM and ILOS to: CalAIMECMILOS@dhcs.ca.gov  ​

​​​​​IMPORTANT UPDATE: The California Department of Health Care Services (DHCS) is accepting written feedback on the Incentive Payment Draft Program Design and Measure Set, please submit feedback to CalAIMECMILOS@dhcs.ca.gov by Wednesday, July 14. 

DHCS has released finalized requirements documents and additional supporting resources for the Enhanced​ Care Management (ECM) benefit and In Lieu of Services (ILOS), available below.

Please note that DHCS will incorporate the provisions in the DHCS-MCP ECM and ILOS Contract Template​ below as an attachment to existing MCP Contracts. These provisions will also be included as part of the 2024 Request for Proposal (RFP)/Main Contract​. ​

Last modified date: 7/9/2021 2:25 PM