Community Supports Providers Referring to Enhanced Care Management
Community Supports (CS) providers can refer a member to Enhanced Care Management (ECM) providers if the member is eligible for ECM based on the Department of Health Care Services (DHCS) guidelines. Providers can make a referral by using the options below:
- Submit an ECM referral request through the provider portal. ECM referral and screening forms can be found at CalAIM Resources for Providers > Forms and Tools > Enhanced Care Management (ECM). CS providers are not required to use the forms; they are provided as optional tools.
- Fax the member’s information that supports their ECM eligibility including the complete ECM referral form to Enhanced Care Management Eligibility.
If the referring provider submits a referral for a member that is already assigned to another ECM provider, a non-eligible status will be issued as unable to process and a letter will be sent to the referring provider.