Enhanced Care Management
Enhanced Care Management (ECM) is a comprehensive Medi-Cal managed care benefit designed to address both clinical and non-clinical needs of high-need individuals. ECM achieves this through the coordination of services and the implementation of comprehensive care management. It is important to note that ECM services can be provided simultaneously with Community Support, offering a holistic approach to healthcare.
Transforming Medi-Cal: ECM Revolutionizing Healthcare
At the heart of the Medi-Cal transformation, Enhanced Care Management (ECM) is reshaping the landscape of healthcare by breaking down traditional barriers and extending care beyond hospital walls into the heart of our communities. This innovative approach introduces a more coordinated and personalized care system, providing in-person care management where it matters most - right where Californians live.
ECM redefine healthcare by breaking free from traditional confines. No longer confined to hospitals and healthcare settings, these programs bridge the gap between clinical care and community well-being, ensuring a comprehensive and accessible healthcare experience.
What This Change Means for Californians:
ECM brings tangible benefits for the people of California. A new statewide Medi-Cal benefit, offers eligible members with complex needs:
- Single Lead Care Manager: Access to a dedicated professional orchestrating comprehensive care management.
- Quality Care Everywhere: Connections to quality care, no matter where members seek it – be it a medical office, a dental facility, with a social worker, or at a community center.
Enhanced Care Management
Under the Enhanced Care Management program, Omatochi is committed to providing exemplary services to the following population of focus:
Community Residents
Adults Living in the Community at Risk for LTC Institutionalization: We focus on individuals at risk of long-term care (LTC) institutionalization who require lower-acuity skilled nursing. This includes those experiencing challenges with activities of daily living (ADLs), communication difficulties, access to food, stable housing, living alone, and the need for conservatorship or guided decision-making.
Our goal is to provide continuous community residence with wraparound support, ensuring a safe and fulfilling life.
Nursing Facility Residents
Safe Transition into the Community: Our ECM program offers intensive care coordination for nursing facility residents interested in moving out of the institution. This service facilitates a safe and seamless transition into the community.
By leveraging ECM, we empower individuals to reside continuously in the community, fostering independence and improved overall well-being.
At Omatochi, our Enhanced Care Management program is more than just a service; it's a commitment to improving the lives of high-need individuals. We understand that healthcare is not one-size-fits-all, and our approach is personalized, ensuring that everyone receives the care and support they need to thrive.
Counties We Currently Serve
Alameda
Sacramento
Marin
Merced
Contra Costa
Santa Clara
San Benito
Solano
Santa Cruz
San Mateo
San Joaquin
Monterey
San Francisco
Mariposa
Contact Us:
If you have questions about our Medi-Cal (CalAim) programs or wish to schedule an appointment, please get in touch with us at 925-905-1662. We look forward to continuing our tradition of delivering exceptional healthcare services to our community.
Thank you for your ongoing support as we strive to impact the health and well-being of those we serve positively.
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