Enhanced Care Management
The ECM program was implemented in January 2022 as part of the CalAIM (California Advancing and Innovating Medi-Cal) Initiative developed by the California Department of Health Care Services.
Enhanced Care Management is a whole-person, interdisciplinary approach to care that addresses the clinical and non-clinical needs of high cost and/or high-need members through coordination of services and comprehensive care management that is community-based, interdisciplinary, high-touch, and person-centered.
We are a Professional Care Management Service Organization
We offer services to the most vulnerable and highest-need Medi-Cal Managed Care Members in Kern County, California.
Engagement
Our ECM staff establish strong relationships with our members, most effectively through in-person interactions.
When in-person interaction is unavailable or does not meet the needs of the member, we use alternative methods to provide culturally appropriate and accessible communication according to the member's preference.
Care Plans
We develop a comprehensive, individualized, and person-centered care plan for each member within the first 90 days of enrollment. The care is focused on treating the"whole person", including physical, behavioral, and social needs.
Coordination of Care
Based on assessments, screening, and care plans, our Care Managers identify and connect members to needed community and social support services, including:
- Housing
- Transportation
- Long-term care services
- Employment counseling
- Childcare
- Food
- Educational opportunities
- Legal assistance
Program Goals
- Improve Care Coordination
- Integrate services
- Facilitate community resources
- Address social determinants of health
- Improve health outcomes
- Decrease inappropriate utilization
- Same day access
Core Services
- Outreach and engagement
- Comprehensive assessment and care management plan
- Enhanced coordination of care
- Health promotion
- Comprehensive transitional care
- Member and family supports
- Coordination of and referral to community and social support services
Contact Us
Phone: (661) 310-2732
Email: ecm@unity-care.com
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