Continuity of ECM Services for Members Who Change Managed Care Plans
The Plan will preserve continuity of Enhanced Care Management (ECM) services for members who were receiving ECM with a prior Managed Care Plan (MCP) and have changed MCPs. Members and/or their family member or authorized representative may request enrollment into ECM upon the transfer of their care from a prior MCP where they were receiving the ECM benefit. Members will be requested to provide the name of the prior MCP and/or the prior ECM provider to facilitate continuity and mitigate gaps in care.
Requests should be submitted via referral to the new MCP using the ECM referral form and identifying ECM eligibility as continuity of care, in addition to any applicable ECM Populations of Focus.