Streamlining ECM Referrals and Presumptive Authorization: Key Takeaways from DHCS’s Recent Webinar

On October 9th, the DHCS hosted a comprehensive webinar to unveil two major policy reforms aimed at enhancing the referral and authorization processes for Enhanced Care Management (ECM). These reforms are set to significantly improve access to ECM services for Medi-Cal members. Tyler Sadwith (State Medicaid Director, DHCS), along with Dr. Palav Babaria and Dr.…

Unlocking CalAIM’s Potential with Open Standards

California’s Department of Health Care Services (DHCS) has made significant strides with the introduction of CalAIM, a program designed to help the state’s most vulnerable populations by providing integrated care that addresses both health and social needs. This initiative aims to transform care delivery, reaching those who need support the most. Under this model, managed…

7 CalAIM ECM services you need to know about

Seven CalAIM ECM Core Services

CalAIM (California Advancing and Innovating Medi-Cal) is a multi-year initiative by the California Department of Health Care Services (DHCS) to improve the health outcomes and quality of life for Medi-Cal members. The enhanced care management services of CalAIM are designed to provide more personalized, coordinated, and effective care to Medi-Cal beneficiaries with complex needs. The…