Medi-Cal Expands Enhanced Care Management To Long-Term Care Populations

On January 1, 2023, the California Department of Health Care Services (DHCS) expanded the new Medi-Cal Enhanced Care Management (ECM) benefit to two long-term care populations. One population includes Medicaid beneficiaries who meet the level of need for long-term care and who are at-risk of being institutionalized; the other population includes current nursing facility beneficiaries transitioning to the community.

ECM is a comprehensive care management benefit available through the state’s California Advancing and Innovating Medi-Cal (CalAIM) Medicaid waiver. It is intended to address the clinical and non-clinical needs of high-need, high-cost . . .