Providers requesting Enhanced Care Management (ECM) services are now required to submit an ECM referral form. Previously, providers submitted a Prior Authorization Request (PAR) form for ECM services to our Utilization Management Department for review.
To request ECM
Submit one of these forms (depending on the member’s age):
- For patients 21 and up: ECM Adult Referral Form
- For patients under 21: ECM Child/Youth Referral Form
To speed up processing time, type directly into the form and submit it via secure email to [email protected]. Do not use a scanner, fax the form or fill in the form by hand. Watch our new tutorial video on the required forms, submission process and more.
If you have any questions about this change, email [email protected].