Your HEALTHmatters

Welcome to Your HEALTHmatters—our member blog that makes keeping up with the latest health news easy! This is where you’ll find the latest benefit information, tips and resources for a healthy, happy you! The top stories are highlighted with images, and you can find more stories listed under them. To read a story, just click the headline or the "Read more" link.

If you have questions about specific content that may affect your health, please contact your health care provider.

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Enhanced Care Management for Children and Youth

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Enhanced Care Management for Children and Youth

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Enhanced Care Management for Children and Youth

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Enhanced Care Management for Children and Youth

On January 1, 2022, the Department of Health Care Services (DHCS) launched California Advancing and Innovating Medi-Cal (CalAIM). This statewide program allowed health plans like HPSM to cover new types of care for the highest-need Medi-Cal members.

One of the first CalAIM benefits HPSM offered was Enhanced Care Management (ECM) for the most at-risk adult Medi-Cal members. With ECM, a Care Manager works closely with the member providing support that is mostly in-person, and works closely with their care team. The Care Manager can help the member find doctors, get community-based services for housing or meals and much more.

Starting on July 1, 2023, we expanded ECM to children and youth Medi-Cal members who are:

  • Experiencing homelessness.
  • Struggling with serious mental health or substance use issues.
  • Often hospitalized or in the emergency room.
  • In California Children’s Services (CCS) with complex social needs.
  • In the child welfare system.

The extra care coordination provided by ECM will make sure that these children and youth get all the care they need to stay healthy.

To learn more about ECM, visit www.hpsm.org/medi-cal/ecm or call Member Services at 650-616-2133.