Enhanced Care Management
Enhanced Care Management (ECM) is a Medi-Cal care management benefit. ECM offers extra services to members with complex needs that make it difficult to improve their health. This could include health conditions or challenges such as not having a place to live.
Working with an ECM care team
Qualified members who enroll in ECM are paired with a care team. The care team works with the member to make a care plan. This can include connecting members with core community and social services.
Who can get ECM?
Members must be enrolled in a Medi-Cal managed care health plan. They must meet eligibility requirements to receive ECM services. If they qualify, using ECM services is their choice.
People who qualify
ECM is for Medi-Cal members with the most complex medical and social needs. It is available to select “Populations of Focus”. It will address the clinical and non-clinical needs of the highest-need members. Members will be picked with the help of health and health-related services.
Contracted provider log-in
How to request Enhanced Care Management
Members can talk to their doctor or call Blue Shield Promise Customer Care.
To check if a member qualifies for ECM services, email Blue Shield Promise Enhanced Care Management: ECM@blueshieldca.com
To check if a member qualifies for ECM services, email Blue Shield Promise Enhanced Care Management: ECM@blueshieldca.com
Blue Shield of California Promise Health Plan offers the following ECM services to eligible Medi-Cal members in Los Angeles and San Diego Counties:
For additional information or to refer members to Enhanced Care Management, email ECM@blueshieldca.com.
Instructions for using the provider portal (including Community Supports)
Important documents
Health Risk Assessment (HRA) Form