ECM is delivered primarily by community-based entities that hold contracts with Medi-Cal health plans. Examples of entities that might deliver ECM include Federally Qualified Health Centers (FQHCs) and other community clinics, county and social service agencies, and other community-based entities. The Medi-Cal health plan assigns each member to an ECM provider, which will include a lead care manager. The lead care manager serves as the member’s primary point of contact and works with all their providers – such as doctors, specialists, pharmacists, social service providers, and others – to make sure everyone is in agreement about the member’s needs and care.