Skip to main content
Enhanced Care Management QIP

Enhanced Care Management QIP

Phone number
none
Category
Health
Auto tags
Eligibility
Medi-Cal members in designated populations with complex needs (e.g., experiencing homelessness, chronic conditions, mental health needs)
Auto Summary
Enhanced Care Management (ECM) Quality Incentive Program is a Medi-Cal benefit under California's CalAIM initiative, replacing the Whole Person Care Pilot and Intensive Outpatient Care Management programs. It standardizes care management services to improve health outcomes for seven identified vulnerable populations, including those experiencing homelessness, chronic conditions, and mental health needs. Partnership HealthPlan of California administers the program and provides resources, training, and support for ECM providers.
Value
Coordinated care management services for Medi-Cal members with complex health and social needs
Espanol
Programa de Incentivos de Calidad para el Manejo de Cuidado Mejorado (ECM QIP) - Beneficio de Medi-Cal que coordina servicios de manejo de cuidado para miembros con necesidades de salud complejas bajo la iniciativa CalAIM de California.
Enhanced Care Management (ECM) Quality Incentive Program (QIP) is a Medi-Cal benefit that replaces the current Whole Person Care (WPC) Pilot and Intensive Outpatient Care Management (IOPCM) activities. As part of the California Advancing and Innovating Medi-Cal (CalAIM) initiative, the objective of ECM QIP is to motivate, modify, and improve the health outcomes of seven identified groups of individuals by standardizing a set of care management services and interventions, and then building upon the positive outcomes from those programs. CalAIM is a multi-year initiative, organized by the Department of Health Care Services (DHCS) for the purpose of addressing the multifaceted challenges facing California's most vulnerable residents.

Questions? Contact us – we are here to help!

ECM QIP Team: [email protected] Other Partnership Contacts: General ECM-Related Questions: [email protected] ECM Provider Reporting: [email protected] Provider Portal & TARs: [email protected] Claims: [email protected]
External Contacts: PointClickCare Webpage: PointClickCare Website Portal Email: [email protected] Phone: (801) 285-0770 Available Monday - Friday 7 a.m. - 6 p.m. MST ECM Assignment Check
notion image
Below are ECM QIP related documents to assist our ECM Providers.