1. Members who qualify may be contacted directly by their health plan and/or an ECM provider.
    Medi-Cal health plans are responsible for regularly identifying members who may benefit from ECM and who meet the criteria for the program. Once a member is identified, the health plan and/or their assigned ECM provider will contact them to discuss ECM.
  2. A health and social services provider, including an ECM or Community Supports provider, may submit a referral for members.
    If a member has not been identified by the Medi-Cal health plan as eligible for ECM, but meets the requirements, their provider can submit a referral to the member’s health plan. The health plan is required to have a referral process that is available for health and social service providers. You do not need to be a clinician to refer someone to ECM.
  3. Members may self-refer or ask for information to see if they qualify.
    A member or the member’s family can contact their Medi-Cal health plan to see if they qualify for ECM. Members can contact their health plan by calling the number on the back of their insurance card.