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Enhanced Care Management

Enhanced Care Management (ECM) is a Medi-Cal benefit administered by Department of Health Care Services (DHCS) and is a foundational component of CalAIM. ECM is intended to be a whole-person, interdisciplinary approach to comprehensive care management that addresses the clinical and non-clinical needs of high-need and/or high-utilizing members through systematic coordination of services that is community-based, interdisciplinary, high-touch, and person-centered.

ECM providers deliver comprehensive care management, care coordination, health promotion, comprehensive transitional care, individual and family support services, and referrals to community social supports. The following provider groups are currently serving as ECM providers:

  • HealthRIGHT 360
  • Kaiser Permanente
  • Marin City Health & Wellness at Bayview Hunter’s Point
  • North East Medical Services (NEMS)
  • MedZed
  • St. Anthony Medical Clinic
  • San Francisco Health Network
  • Citywide
  • San Francisco Health Plan

ECM eligible members will be assigned an ECM provider and a Care Manager who will assess a members needs to best support their health care and social needs.

SFHP will continue to collaborate with community providers to onboard additional ECM providers. Please contact SFHP’s Provider Relations Department at 1(415) 547-7818 ext 7084 or email Provider Relations if you have any questions. For more information about the benefit and how members can be referred: Click here.