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Market Intelligence Resource | September 16, 2024

CalAIM Enhanced Care Management Referral Standards & Form Templates

On September 3, 2024, the California Department of Health Care Services (DHCS) published these referral standards and form templates regarding claim-enhance care management (ECM) services for high need individuals. These statewide standards allowed managed care plans (MCPs) to expand the use of presumptive authorization with select ECM provider organizations to streamline the initiation of ECM for some members . . .

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