ECM

Enhanced Care Management Program (ECM)

Helping you achieve your health goals!

“ECM was designed to help members of the community with the highest, most complex medical and social needs. We take a person-centered and interdisciplinary approach to meet our clients where they are—in life, in their health journey, and in their community. Our goal is to meet both the clinical and non-clinical needs of our members by considering the impacts of ALL drivers of health—physical, mental, and social.”

Nora Reilly

ECM Program Manager

Providence Adult Day Health Napa Valley

Why ECM?

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.

Who is eligible for ECM?

  • Adults who are at risk for avoidable hospital or emergency department care.
  • Adults with serious mental health and/or substance use disorder needs.
  • Adults living in the community and at risk for long-term care or institutionalization.
  • Adult nursing facility residents transitioning to the community.
  • Must be 21+
  • Must have Partnership Health Plan

What do you receive as an ECM member?

  • Comprehensive assessment and care management planning

  • Enhanced coordination of care

  • Heath promotion

  • Comprehensive transitional care

  • Member and family supports

  • Coordination of and referral to community and social support services

Your ECM Lead Care Manager can:

  • Help you get health care and social services
  • Find and schedule your health visits
  • Arrange transportation to and from health visits
  • Connect you to programs and services in your community
  • Explain your doctor’s prescription and how to use them
  • Refer you to mental health services
  • Assist with returning home from a nursing home
  • Provide support for drug and alcohol misuse
  • Provide housing support
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Providence Adult Day Health Napa Valley

Enhanced Care Management Program

414 South Jefferson St., Napa, CA 94559

707-989-0316 ∙ ECMprogram@providence.org

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