Enhanced Care Management (ECM) is a benefit that provides extra care coordination services to members with very complex needs. This new 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. This person will talk to members and their doctors, mental health providers, specialists, pharmacists, case managers, social services providers, and others to make sure everyone works together to get members the care they need. 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 also call GCHP at 1-888-301-1228 or talk to their health care provider to find out if and when they can receive ECM.
Participating in ECM is voluntary. Members can decline these services if they decide they don’t want them.
In December 2021, GCHP members were sent the following letter about the new ECM benefit:
Department of Health Care Services (DHCS) Resources