Personalized Enhanced Care Management in San Diego, CA

Enhanced Care Management Services

ECM is a no‑cost, Medi‑Cal benefit designed to coordinate your medical care and connect you with services that support your entire well‑being, not just your clinical needs. When you enroll in Enhanced Care Management, you are assigned a dedicated case manager who becomes your partner in care. They work closely with you and your family to:

  • Coordinate appointments with your doctors, specialists, and behavioral health providers.
  • Help arrange transportation to and from medical, dental, and therapy visits.
  • Assist with prescriptions and medication refills, so you never miss essential treatments.
  • Connect you with vital community resources, including food, housing supports, and social services.
  • Enroll your entire family in care programs when appropriate, fostering better health for everyone, children, adults, and caregivers alike.

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.

Why Choose OpSam Health for Enhanced Care Management

Choosing the right care team makes a real difference. Our Enhanced Care Management in San Diego is built around people, with a focus on access and whole-family support. We offer:

  • Fast access to specialists with same-day or no-wait appointments for cardiology, dental care, and behavioral health through trusted community partnerships
  • Dedicated case managers who guide you through appointments, medications, transportation, and social services
  • Family-centered care that enrolls and supports entire households, not just individual patients
  • Holistic support that addresses medical, behavioral, and social needs together
  • Strong community connections that remove barriers and make care easier to navigate
A nurse assists elderly women with enhanced care for medicine in San Diego, CA