ECM is intended for the highest risk, highest-cost Medi-Cal managed care members with the most complex medical and social needs. ECM will provide these members with long-term help coordinating their services across delivery systems to address their needs. To be eligible for ECM, members must be enrolled in a Medi-Cal managed care health plan and meet criteria for at least one of the Populations of Focus. California’s Department of Health Care Services (DHCS) has identified both adult and children/youth Populations of Focus for ECM.