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DHCS Enhanced Care Management (ECM) and Community Supports Benefit Update

Beginning July 1, the ECM benefit is available in all California counties to eligible Medi-Cal managed care plan (MCP) members for the following populations of focus: individuals and families experiencing homelessness, high utilizers, and adults with serious mental illness (SMI) / substance use disorders (SUD). Counties newly implementing ECM as of July 1 include Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, El Dorado, Fresno, Glenn, Humboldt, Inyo, Lake, Lassen, Madera, Mariposa, Merced, Modoc, Mono, Nevada, Plumas, San Benito, San Luis Obispo, Santa Barbara, Sierra, Siskiyou, Solano, Stanislaus, Sutter, Tehama, Trinity, Tuolumne, Yolo, and Yuba. 

Also, as of July 1, MCPs are implementing an additional 266 Community Supports, expanding service availability for these unique offerings to all 58 California counties. Significant service expansions include the housing-related Community Supports services, with MCPs introducing 35 new housing transition navigation services, 44 new housing deposits, and 36 new housing tenancy and sustaining services, as well as respite services (34 new offerings) and personal care and homemaker services (31 new offerings). With 518 Community Supports already available since initial program implementation on January 1, there are now 784 distinct Community Supports offerings available across all 58 counties in California. DHCS created a publicly available Community Supports map showing the number of the 14 pre-approved Community Supports going live in 2022 by county and implementation date. A Community Supports Election Chart is also available, detailing which are available under each MCP in each county and forecasting future expected service offerings.