Enhanced Care Management (ECM)

Enhanced Care Management (ECM) & Community Support (CS) Services Member Guide

At Opsam Health, we’re here to support you every step of the way with Enhanced Care Management (ECM) and Community Support (CS) Services. These programs provide additional assistance to help you navigate your healthcare and access the resources you need.

What is Enhanced Care Management (ECM)?

Enhanced Care Management (ECM) is a free service for Medi-Cal members who need extra support managing their health. It provides personalized care coordination to help patients with complex medical, behavioral, and social needs. Your dedicated Lead Care Manager will work with you, your doctors, and community resources to ensure you receive the care and services you need.

How can I benefit from ECM?

ECM is designed to make navigating your healthcare easier. With ECM, you can:

  • Get help scheduling and attending doctor, dentist, and specialist appointments.
  • Arrange free transportation to and from your healthcare visits.
  • Receive assistance with prescriptions and medication refills.
  • Get connected to food, housing, and social services.
  • Have an advocate on your side to help manage your care and communicate with providers.

Who is eligible for ECM?

You may qualify for ECM if you:

  • Have multiple chronic health conditions.
  • Are frequently hospitalized or visit the ER.
  • Need support with mental health or substance use recovery.
  • Are experiencing homelessness or housing insecurity.
  • Have difficulty managing your medical and social needs.

If you’re unsure whether you qualify, contact us, and we’ll help determine your eligibility.

How can I enroll in ECM?

Enrolling in ECM is simple!

  1. Ask your doctor or healthcare provider about ECM and whether you qualify.
  2. Reach out to our ECM team at Opsam Health, and we can guide you through the process.
  3. If you qualify, a Lead Care Manager will be assigned to support you with your healthcare and personal needs.

Does ECM have a cost, or is it free?

ECM is completely free for Medi-Cal members. There is no cost to enroll, and you can stop receiving services at any time.