Medi-Cal members typically have several complex health conditions involving physical, behavioral, and social needs. Members with these complex needs must often engage several delivery systems to access care, including primary and specialty care, dental, mental health, substance use disorder treatment, and long-term services and supports.

In fact, more than half of Medi-Cal spending is attributed to the 5 percent of members with the highest-cost needs. Through enhanced care management, we aim to provide care coordination across healthcare delivery systems to reduce barriers associated with multiple complex health conditions and social circumstances.