​​​​​​​​​​​​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 that will be implemented 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  

​ECM and ILOS Documents​​

In mid-February 2021, DHCS released a set of draft 
ECM and ILOS Requirement Documents for public 
comment (listed below).​


​Informational Webinars​

​​Throughout 2021, DHCS will host informational webinars to provide ECM and ILOS program updates; the slides will be posted here afterward.



Listed below are resources with key information

about ECM and ILOS:​

Last modified date: 4/9/2021 3:42 PM