Compassionate, coordinated support for Medi-Cal members with complex needs

What ECM Provides

ECM is a statewide Medi-Cal benefit that helps high-need members receive intensive, coordinated support through a single lead care manager. We walk alongside members to address physical, behavioral, and social needs while helping them navigate multiple systems of care.

Our care managers meet members in the community—including homes, shelters, hospitals, encampments, and clinics—to support them in real time.

Who Qualifies

Eligible Medi-Cal members include:

• Individuals experiencing homelessness

• People with serious mental health or substance use needs

• Those at risk of hospitalization or institutionalization

• Seniors and adults living with complex medical conditions

• Youth in child welfare

• Individuals transitioning from incarceration

• Pregnant and postpartum individuals

How We Support You

• Your ECM lead care manager helps you:

• Coordinate primary care, specialty care, and dental care

• Access mental health and substance use treatment

• Connect to housing and Community Supports

• Secure transportation, food resources, and social services

• Create a care plan that fits your health, goals, and daily challenges

Enhanced Care Management (ECM) at Trin’Naz Helping Hands

Coordinated Care for Individuals with Complex Needs

Enhanced Care Management (ECM) is a Medi-Cal benefit designed for people who face serious physical, behavioral, or social challenges and need more than basic referrals. Many members must navigate multiple systems—medical care, mental health, substance use treatment, housing services, county programs—and often fall through the cracks. ECM closes those gaps.

At Trin’Naz Helping Hands, ECM clients are paired with a single lead care manager who becomes their consistent point of support. This care manager meets clients wherever they are—at home, in a shelter, in the hospital, or out in the community—to understand their needs and coordinate every part of their care.

ECM Services

Our lead care managers help clients:
• Understand and manage health, mental health, and social needs
• Build a personalized care plan based on their goals
• Coordinate medical, dental, behavioral health, and social services
• Navigate systems such as Medi-Cal, housing, re-entry, and community programs
• Stay connected through regular check-ins, follow-ups, and warm handoffs. 

ECM goes beyond clinic visits. It ensures clients receive the right care, at the right time, in the right setting—even when that means meeting them in the community or connecting them to services like food access or safe housing through Community Supports.

Who ECM Is For:

ECM is available to specific Medi-Cal Populations of Focus, including:
• People experiencing homelessness or housing instability
• Individuals at risk of avoidable emergency room or hospital use
• People with serious mental health and/or substance use needs
• Adults at risk of being placed in long-term care
• Nursing facility residents preparing to return to the community
• Children and youth in CCS or the Whole Child Model
• Children and youth involved in foster care
• Individuals transitioning from incarceration
• Pregnant and postpartum individuals, including birth equity populations

Why ECM Matters

Many of the people we serve are managing multiple challenges at once, health problems, trauma, unstable housing, poverty, or lack of family support. ECM meets them with compassion, consistency, and advocacy. It reduces emergency room use, improves health outcomes, and helps clients rebuild stability.

Through the state’s PATH initiative, California is expanding ECM so community-based organizations like ours can deliver care that is person-centered, culturally responsive, and accessible in real community settings.