California Medicaid: Finalized Enhanced Care Management Key Design Implementation Decisions

The document was released on March 25, 2021, by the California Department of Health Care Services (DHCS). It describes the population of focus for Medicaid Enhanced Care Management (ECM) services, the implementation timeline for ECM and Medicaid In-Lieu Of Services (ILOS), ECM overlap with other programs, and exclusions. ECM is a whole-person, interdisciplinary approach to comprehensive care management, which addresses the clinical and non-clinical needs of high-cost, high-need managed care members. This is done through systematic coordination of services that is community-based, interdisciplinary, high-touch, and person-centered. ILOS are medically appropriate and cost . . .