Enhanced Care Management: Helping Navigate Systems for Better Care
About
Enhanced Care Management (ECM) is a holistic and intensive care management program established under California Advancing and Innovating Medi-Cal (CalAIM). ECM is available to children and youth with complex health needs, including those identified through an Adverse Childhood Experiences (ACE) screen as at high risk for toxic stress. ECM can provide Medi-Cal members with extra help in navigating the physical and behavioral health system and accessing social needs. All ECM services are available through a network of community-based providers contracted with Medi-Cal managed care plans. This webinar will give an overview of the ECM benefit, an overview of the community-based provider structure, and how to screen and refer potentially eligible members for services.
Learning Objectives
- Describe ECM and its potential benefits to children and youth who are at high risk for toxic stress
- Explain ECM's community-based network and how ECM providers work with Managed Care Plans
- Identify ECM eligibility criteria and describe the process to screen and refer potentially eligible Medi-Cal members
Professional Credit
- This activity provides the following types of credit: AMA, AAPA, APA, ANCC, ASWB, ABIM-MOC, ABP-MOC.
- 1.0 credits are available.
- Activity document
Featuring
Based in the Sacramento area, Dr. Owen was an adviser to the ACEs Aware initiative before joining UCAAN as a co-Principal Investigator and Senior Director of Clinical & Academic Programs, Health Equity. Prior to joining UCAAN, Dr. Owen was an Assistant Clinical Professor in the Department of Pediatrics at UC Davis Health System. Dr. Owen earned an MD at UCSF, completed his Pediatric Residency at UC Davis, and completed his fellowship in Community and Societal Pediatrics at the University of Florida College of Medicine - Jacksonville. He recently completed the Pozen-Commonwealth Fund Fellowship in Health Equity Leadership at Yale University.
Cynthia Carmona has more than 20 years of experience in health policy, program development, and implementation. In her various roles working with state and local agencies, safety net providers, and managed care organizations, Cynthia has implemented several major health care initiatives, including My Health LA, the Low- Income Health Program transition to Medi-Cal under the Affordable Care Act, the Health Homes Program, and CalAIM ECM and Community Supports (CS). Cynthia’s current work includes coaching organizations on CalAIM implementation, managing organizational transformation, and launching value-based programs. Prior to launching Carmona Insights, Cynthia led the Safety Net Initiatives department at L.A. Care Health Plan, working with Los Angeles County and nonprofit community health centers to enhance systems of care. She oversaw CalAIM ECM and Community Supports implementation, as well as L.A. Care's Elevating the Safety Net workforce investment fund. Prior to joining L.A. Care, Cynthia was the Director of Government and External Affairs for the Community Clinic Association of LA County (CCALAC) where she oversaw the development, implementation, and evaluation of CCALAC's advocacy, government, and public relations activities.
Mary W. Zavala, LCSW, MPP, MA, works as a health care consultant with organizations seeking to improve client care delivery and outcomes. She has extensive experience in person-centered and team-based care through her direct social work practice in oncology and solid organ transplantation. Mary’s experience also includes CalAIM and Medi-Cal managed care through her role as Director of the Health Homes Program and Director of ECM for L.A. Care Health Plan. She also served as the Director of State Programs for San Francisco Health Plan, where she was responsible for ECM and Community Supports. Mary’s peer-reviewed research highlights the positive effects that care management and coordination can have on health outcomes, such as quality of life, health literacy, and sense of support in vulnerable populations.