Enhanced Care Management (ECM)
Molina Healthcare covers Enhanced Care Management (ECM) services for members with highly complex needs. ECM is a benefit that provides extra services to help you get the care you need to stay healthy. It coordinates the care you get from different doctors. ECM helps coordinate primary care, acute care, behavioral health, developmental, oral health, community-based long-term services and supports (LTSS), and referrals to available community resources.
If you qualify, you may be contacted about ECM services. You can also call Molina Healthcare to find out if and when you can receive ECM. Or talk to your health care provider who can find out if you qualify for ECM and when and how you can receive it.
Covered ECM services:
If you qualify for ECM, you will have your own care team, including a care coordinator. This person will talk to you and your doctors, specialists, pharmacists, case managers, social services providers and others to make sure everyone works together to get you the care you need. A care coordinator can also help you find and apply for other services in your community. There is no cost to you for ECM services.
- Outreach and engagement
- Comprehensive assessment and care management
- Enhanced coordination of care
- Health promotion
- Comprehensive transitional care
- Member and family support services
- Coordination and referral to community and social supports
Referrals for ECM can be made using the form located on our website under Frequently Used Forms (molinahealthcare.com).
To find out if ECM may be right for you, talk to your health care provider or call Member Services at 1-888-665-4621 (English) (TTY/TDD 711), Monday-Friday 7:00 a.m. - 7:00 p.m. The call is toll free.