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Enhanced Care Management (ECM) Member Referral Form Overview: Enhanced Care Management (ECM) is a statewide MediCal benefit available to eligible Members with complex needs. The purpose of this ECM
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Gather personal and health information, including medical history and current medications.
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Identify the healthcare providers involved in your care.
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Complete the required forms for documenting your care needs and goals.
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Assess any barriers to accessing care, such as transportation or financial issues.
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Submit the completed documentation to your care coordinator for review.

Who needs enhanced care management ecm?

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Individuals with complex health conditions requiring coordinated care.
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Patients transitioning from hospital to home settings.
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Clients with multiple healthcare providers who require management of their care plans.
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Enhanced Care Management (ECM) is a comprehensive approach to managing the care of individuals with complex health needs, focusing on integration, coordination, and personalized support to improve health outcomes.
Health care providers and organizations involved in the delivery of ECM services, such as managed care organizations and community-based providers, are typically required to file enhanced care management ECM.
Filling out ECM typically involves gathering patient information, detailing the services provided, documenting care coordination activities, and completing any required forms or databases, ensuring all necessary data is accurately recorded.
The purpose of ECM is to provide tailored care coordination for individuals with complex health needs, improving access to services, enhancing the quality of care, and promoting better health outcomes.
Information that must be reported on ECM includes patient demographics, care coordination activities, health assessments, outcomes of interventions, and any referrals made to other services.
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