Medi-Cal managed care plans must cover enhanced care management and community supports for specific populations.

The bill amends the Welfare and Institutions Code to implement an enhanced care management (ECM) benefit for Medi-Cal beneficiaries in managed care plans. It requires Medi-Cal managed care plans to cover ECM for certain target populations, including children with complex needs, individuals experiencing homelessness, and those at risk for institutionalization. The bill also mandates that plans contract with community providers to deliver ECM services and prohibits duplicative targeted case management services.

Medi-Cal managed care plans must cover enhanced care management and community supports for specific populations.

The bill amends the Welfare and Institutions Code to implement an enhanced care management (ECM) benefit for Medi-Cal beneficiaries in managed care plans. It requires Medi-Cal managed care plans to cover ECM for certain target populations, including children with complex needs, individuals experiencing homelessness, and those at risk for institutionalization. The bill also mandates that plans contract with community providers to deliver ECM services and prohibits duplicative targeted case management services.