Managed Care Plan (MCP) Enhanced Care Management (ECM) and Community Supports (CS) Referral Pathways

• Case and Disease Management (CMDM) – Alameda Alliance for Health
  Scroll down to Community Supports tab and ECM tab for more information
  Alameda Alliance Case Management Department at 510-747-4512.
  Toll-Free: 1.877.251.9612
  
  ECM: 
  Enhanced Care Management Program - Public Health Department, Alameda County - ECM information
  • Filling out an ECM Approval Request form (For Children/Youth under age of 21) and sending it to Alameda Alliance via fax (1-510-995-3725) or email (ECM@alamedaalliance.org)

• Community Supports: Case and Disease Management (CMDM) – Alameda Alliance for Health
  
  Phone Number: 1.510.747.4512
  Toll-Free: 1.877.251.9612
  People with hearing and speaking impairments (CRS/TTY): 711/1.800.735.2929

• CACA_CA_EnhancedCareMngmtReferral.pdf Referral form for ECM
• California Advancing and Innovating Medi-Cal (CalAIM) | Anthem Blue Cross - Information on ECM and Community Supports.

• Member Referral Form - Referral form for Community Supports

• ECM Brochure for Adults and Children/Youth with contact information for each PoF and each county Enhanced Care Management | Blue Shield of CA Promise Health Plan 
• Member Services Blue Shield Promise Medi-Cal:
  • Los Angeles County
    Phone: 800-605-2556 (TTY:711).  8 a.m. to 6 p.m., Monday through Friday. Fax: 323-889-6236
  • San Diego County
    Phone: 855-699-5557 (TTY: 711). 8 a.m. to 6 p.m., Monday through Friday. Fax: 619-528-4820  

• Community Supports Referral form Referral Form

• ECM Referral Form Enhanced Care Management (ECM) Referral Form 

• Community Supports Referral Form CalAIM Community Supports Referral Form

• ECM Brochure - ECM Brochure and FAQ
• CalAIM Resources for Providers | Health Net - Scroll down to forms and tools  and click on ECM to see the list of ECM Referral for Adults and Children/ Youth for Health Net, CalViva Health and Community Health Plan of Imperial Valley

• CalAIM Resources for Providers | Health Net - Scroll down to forms and tools and click on Community Supports to see Referral Forms for Health Net, CalViva Health and Community Health Plan of Imperial Valley.
• CalViva Health at 888-893-1569 (TTY:711) toll free

• ECM Brochure FAQ
• ECM Flyer M-MM-ECMA-0624 E
• ECM Referral Form Link
• ECM and Community Supports Overview CalAIM | CenCal Health Insurance Santa Barbara and San Luis Obispo Counties

• Community Supports Brochure
• Community Supports Referral form - Scroll down to CalAIM forms and look for individual community supports referral forms.

• Adult members age 21 and over ECM Referral Form Link
• Members ages 20 and under ECM Referral Form Link

• Community Supports Referral forms Scroll down to how can I get Community Supports and click on the required type of Community Supports Referral form.

• ECM and Community Supports information Community Health Group | Enhanced Care Management and Community Supports
• ECM Referral form for Children/Youth universal-ecm-referral-form-youth-final.pdf
• ECM Referral form for Adults universal-ecm-referral-form-adult-final.pdf

Community Supports:

• Community Supports Referral form cs-referral-form-pdf-fillable.pdf

• ECM and Community Supports Brochure Member Resources - Community Health Plan of Imperial County scroll down to download ECM and CS brochures
• CalAIM Resources for Providers | Health Net - Scroll down to forms and tools  and click on ECM to see the list of ECM Referral for Adults and Children/ Youth for Health Net, CalViva Health and Community Health Plan of Imperial Valley
• Member Services: 1-833-236-4141

• CalAIM Resources for Providers | Health Net - Scroll down to forms and tools and click on Community Supports to see Referral Forms for Health Net, CalViva Health and Community Health Plan of Imperial Valley.

• CCHP ECM Referral form scroll down to ECM and look for Referral forms for Adult and Child/Youth Child/Youth ECM Referral Form
• Member Services: 1-877-661-6230 (Option 2) (TTY 711), Monday – Friday, from 8:00 AM to 5:00 PM.

• Community Supports Information: Enhanced Care Management and Community Supports | Contra Costa Health
• CalAIM Programs | Contra Costa Health - Scroll down to Community Supports 
• A member can ask their primary care provider (PCP), doctor, social worker, or other healthcare professional to refer them for any of these services.

• ECM Information Enhanced Care Management (ECM) | Gold Coast Health Plan
• ECM Referral forms Enhanced Care Management | Gold Coast Health Plan

• Community Supports Referral forms - scroll down to CS Member Referral Forms Community Supports | Gold Coast Health Plan
• Members can call GCHP at 1.888.301.1228 / TTY 711 to find out if and when they can receive CS.

• ECM Information - Enhanced Care Management Resources | Health Net
• Health Net Medi-Cal Members | Health Net - Scroll down To Member materials and download Member Handbook for information on ECM and Community Supports.
• CalAIM Resources for Providers | Health Net - Scroll down to forms and tools  and click on ECM to see the list of ECM Referral for Adults and Children/ Youth for Health Net, CalViva Health and Community Health Plan of Imperial Valley.

Community Supports:

• CalAIM Resources for Providers | Health Net - Scroll down to forms and tools and click on Community Supports to see Referral Forms for Health Net, CalViva Health and Community Health Plan of Imperial Valley
• Member Services: 1-800-675-6110 
• Ask your doctor or clinic about it

• ECM and CS information Enhanced Care Management and Community Supports - HPSJ/MVHP
• Referral Form for ECM Link

• Referral Form for Community Supports Community-Support-CS-Services-Referral-Form08152024.pdf
• Members can contact their health care provider 
• HPSJ Member Services: 888.936.7526, TTY 711

• ECM information and FAQ CalAIM Enhanced Case Management | HPSM Members
• ECM Referral form for Adult
• ECM Referral Form for Children/Youth

• For Community Supports, Members should call HPSM Member Services at 650-616-2133.
• CS information and FAQ CalAIM Community Supports | HPSM Members
• If they are not eligible, HPSM can help them find other supports.

• ECM information - Inland Empire Health Plan
• ECM Brochure
• IEHP - Programs & Services : Enhanced Care Management - Scroll down to download ECM Referral forms

• CS information: IEHP - Additional IEHP Services: Community Supports 
• Member Services for Community Supports: 1-800-440-4347 

• ECM and CS information - CalAIM Programs in California | Kaiser Permanente
• Member Services Northern California: 1-833-721-6012 (for both ECM and CS)
• Member Services Southern California: 1-866-551-9619 (for both ECM and CS)

• ECM information - Kern Health System
• ECM Brochure enhancedmancare_24_v4.pdf
• ecm-referral-form-003.pdf (scroll down for Children/Youth)

• CS information - Community Supports Services | Kern Family Health Care
• CS flyer commsupptservices-final.pdf
• Member Services: 1-800-391-2000

ECM:

• ECM information - What Is Enhanced Care Management (ECM)? | L.A. Care Health Plan
• ECM Brochure
• L.A. County Enhanced Care Management (ECM) Benefit Member Eligibility Checklists/Referral Forms - ECM Referral form for Adults
• L.A. County Enhanced Care Management (ECM) Benefit Member Eligibility Checklists/Referral Forms - ECM Referral form for Children/Youth

Community Supports:

• Community Health Services | L.A. Care Health Plan - Click on individual Community Support to access service authorization form for that community Support. 
• Member Services: 1-888-839-9909 (TTY 711) 

• ECM information - Enhanced Care Management (ECM)
• Referrals for ECM and Community Supports can be made using the form located on our website under Frequently Used Forms (molinahealthcare.com) - scroll down to Referral forms Community Support, ECM Member Referral form can be found underneath the same section.
• To find out if ECM may be right for you, talk to your health care provider
• Member Services at 1-888-665-4621 (English) (TTY/TDD 711), Monday-Friday 7:00 a.m. - 7:00 p.m. 

• ECM Referral Form for Adults and Youth: ECM Referral Form - Adult
• ECM Referral Form - Youth
• CalAIM (Transforming Medi-Cal) - Information on ECM and Community Supports

Community Supports:

• Referral Form for Community Supports Community Support Services Referral Form

• Community Supports FAQ FAQ

• ECM information and FAQ - Enhanced Care Management - San Francisco Health Plan
• ECM_Adult_Referral_Form.pdf
• ECM_Children_Youth_Referral_Form.pdf
• Care Management Intake: 1-415-615-4515

• CS Information - Community Supports - San Francisco Health Plan
• Provider Forms - San Francisco Health Plan - Scroll down to Community Supports. Individual Community Supports Referral forms listed.

• ECM information - SCFHP Enhanced Care Management | Santa Clara Family Health Plan
• 41238-ecm-provider-referral-form-adults-final.pdf
• 41239-ecm-provider-referral-form-children-final.pdf
• A member asks to join. Individuals can contact SCFHP Customer Service at
• 1-800-260-2055 (TTY: 711) and ask if they qualify for ECM

• Community Supports | Santa Clara Family Health Plan - scroll down and find on right side box- individual Community Supports Referral form under Resources for Providers