Each member has an ECM provider that coordinates a multi-disciplinary care team which includes the member’s other health care providers and community and family or personal support networks if they wish. Their ECM provider will also assign a lead care manager, who will be the member’s primary point of contact.  The lead care manager works with the member to create a care plan, coordinate their care, and make sure they receive all needed services. Other providers also help develop and implement the care plan as appropriate.

ECM is delivered primarily by community-based entities, serving as ECM providers, that hold contracts with Medi-Cal health plans. If a member’s primary care provider is affiliated with an ECM provider organization, the member will be assigned to that ECM provider unless they choose a different one. If a member’s primary care provider is not part of the ECM provider organization, the lead care manager must coordinate with the members primary care provider.