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Providers: Please be aware of the Medi-Cal Rx Reinstatement of Prior Authorization Requirements and Retirement of the Transition Policy for Beneficiaries 22 Years of Age and Older. Click here for more information.

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Enhanced Care Management (ECM)

Enhanced Care Management (ECM) is a benefit that provides extra care coordination services to members with very complex needs. This benefit can help members get the care they need to stay healthy. It can also coordinate the care they get from different providers involved in their care.

Members who qualify for ECM will have their own care team led by a care coordinator. To make sure everyone works together to get members the care they need, this person will talk to:

  • Members and their doctors
  • Mental health providers
  • Specialists
  • Pharmacists
  • Case managers
  • Social services providers
  • Others

They can also help them find and apply for other services in their community.

Members who qualify may be contacted about ECM services. Members can call GCHP at 1.888.301.1228 / TTY 1.888.310.7347 to find out if and when they can receive ECM. They can also talk to their health care provider.

Participating in ECM is voluntary. Members can decline these services if they decide they don’t want them.

Member Communications

In December 2021, GCHP members were sent the following letter about the ECM benefit: