Medi-Cal Enrollment/Vetting for ECM Providers
Pursuant to relevant Department of Health Care Services (DHCS) All Plan Letters (APLs) including provider credentialing/recredentialing and screening/enrollment APL 19-004, if a state-level enrollment pathway exists, the Enhanced Care Management (ECM) provider will enroll as a Medi-Cal provider. If APL 19-004 does not apply to an ECM provider, the ECM provider must comply with the Plan’s process for vetting the ECM provider, which may extend to individuals employed by or delivering services on behalf of the ECM provider, to ensure it can meet the capabilities and standards required to be an ECM provider. The Plan will request information from the ECM provider to fulfill this requirement.
If you have not completed your Medi-Cal provider enrollment, do not submit a Provider Interest Form. After you receive your Medi-Cal approval, submit the Provider Interest Form and indicate your Medi-Cal approval status.