California Integrated Care Management (CICM)
If you or a loved one qualifies for both Medicare and Medi-Cal, you may be eligible for CICM — a comprehensive, person-centered care management program that coordinates all of your health, behavioral, and social needs through a single dedicated Care Manager.
Call for a Free Eligibility Check
(714) 921-9200
What CICM Provides
One Dedicated Care Manager
A single point of contact who knows you and coordinates everything on your behalf.
Medicare + Medi-Cal Integration
Seamless coordination of both your Medicare and Medi-Cal benefits — no more gaps.
In-Person, Community-Based
Your SHA Care Manager meets you at home, at the hospital, or wherever you need support.
Help Staying Home Safely
Coordinating services, home modifications, and community supports to keep you independent.
What Is California Integrated Care Management?
California Integrated Care Management (CICM) is a statewide Medi-Cal Managed Care Plan benefit specifically designed for dual-eligible members — individuals who qualify for both Medicare and Medi-Cal. CICM provides comprehensive, person-centered care management that integrates both programs into a single, coordinated care experience.
As part of California's CalAIM initiative, CICM represents the evolution of care coordination for the state's most complex and vulnerable seniors. Beginning in 2026, "ECM-like" services for dual-eligible members are transitioning to CICM, which layers California-specific requirements on top of federal Dual Eligible Special Needs Plan (D-SNP) standards.
For seniors navigating the complexity of two separate insurance programs, CICM eliminates the confusion and gaps that typically occur when Medicare and Medi-Cal don't communicate. Your SHA Lead Care Manager becomes the bridge between all of your providers, plans, and services.
How CICM Differs from Standard Care Management
Integrates Medicare AND Medi-Cal
Standard care management coordinates one program. CICM bridges both Medicare and Medi-Cal, eliminating the gaps that cost seniors time, money, and health outcomes.
Designed Specifically for Dual-Eligible Seniors
CICM is built for the unique complexity of dual-eligible members — older adults and people with disabilities who have the most to gain from truly integrated care.
Face-to-Face Engagement Required
Unlike phone-based care management, CICM requires in-person engagement — ensuring your Care Manager truly understands your situation and environment.
Aligned with CalAIM Community Supports
CICM members can also access Community Supports services — including home modifications, medically tailored meals, and housing assistance — at no additional cost.
California-Specific Standards
CICM adds California's own care coordination requirements on top of federal D-SNP standards, ensuring higher quality and accountability than standard managed care.
ECM vs. CICM — What's the Difference?
Both programs provide intensive care management for complex Medi-Cal members. The key difference is which insurance programs you have.
| Feature | ECM (Enhanced Care Management) | CICM (California Integrated Care Management) |
|---|---|---|
| Who It's For | Medi-Cal only members | Dual-eligible (Medicare + Medi-Cal) members |
| Insurance Programs Coordinated | Medi-Cal only | Medicare AND Medi-Cal — fully integrated |
| Plan Type | Medi-Cal Managed Care Plan (MCP) | Dual Eligible Special Needs Plan (D-SNP) |
| Lead Care Manager | ✓ Yes | ✓ Yes |
| In-Person Engagement | ✓ Required | ✓ Required |
| Community Supports Access | ✓ Yes | ✓ Yes |
| Cost to Member | No cost | No cost |
| CalAIM Initiative | ✓ Yes | ✓ Yes (2026 expansion) |
| SHA Provides This Service | ✓ Yes | ✓ Yes |
Not sure which program applies to you? Call us at (714) 921-9200 — we'll check your eligibility at no cost.
Who Is Eligible for CICM?
CICM is designed for dual-eligible members who have complex needs and can benefit from integrated, coordinated care. You may qualify if you meet one or more of the following criteria.
Older Adults with Complex Needs
Seniors managing multiple chronic conditions, functional limitations, or cognitive decline who need help coordinating care across multiple providers.
Recent Hospital or SNF Discharge
Members recently discharged from a hospital, skilled nursing facility, or other institutional setting who need support transitioning safely back to the community.
High Utilizers of Emergency Services
Members with frequent emergency room visits or hospitalizations who would benefit from proactive care coordination to prevent future crises.
Serious Mental Illness or Behavioral Health Needs
Members with significant mental health or substance use challenges whose care requires coordination across behavioral and physical health providers.
At Risk of Institutionalization
Members who are at risk of nursing home placement but wish to remain in the community with the right level of support and coordination.
Adults with Disabilities
Adults with physical, developmental, or cognitive disabilities who need integrated support to maintain independence and quality of life in the community.
Not sure if you qualify? Our team will check your eligibility at no cost — call us today.
(714) 921-9200 — Free Eligibility Check
What SHA's CICM Care Managers Provide
Your dedicated SHA Lead Care Manager coordinates every aspect of your care — in person, in your community, at no cost to you.
Comprehensive Health Assessment
An in-depth, in-person assessment of your medical, behavioral, functional, and social needs — conducted by your SHA Care Manager at home or wherever is most convenient.
Integrated Care Plan Development
A personalized care plan that coordinates your Medicare and Medi-Cal benefits, identifies gaps, and maps out a clear path to better health and stability.
Provider Coordination
Your Care Manager communicates directly with your doctors, specialists, and other providers — ensuring everyone is aligned and nothing falls through the cracks.
Medication Management Support
Help understanding your medications, coordinating refills, and ensuring your prescriptions are covered and accessible under both Medicare Part D and Medi-Cal.
Hospital Transition Support
When you are discharged from a hospital or skilled nursing facility, your SHA Care Manager is there to ensure a safe, supported transition back to your home or community.
Community Supports Coordination
Connecting you to CalAIM Community Supports services — including home modifications, medically tailored meals, transportation, and housing assistance — at no cost to you.
Family and Caregiver Support
Educating and supporting family members and caregivers so they can confidently participate in your care — and know who to call when questions arise.
Ongoing Monitoring and Advocacy
Regular check-ins, plan updates, and proactive advocacy — your SHA Care Manager stays with you over time, adjusting your care plan as your needs evolve.
Why Choose SHA for CICM?
Senior Home Advocates is Orange County's senior-specialist CalAIM provider. No other CICM provider in the region combines our depth of expertise with our concierge, in-person approach.
Senior-Specialist Expertise
Our team has deep expertise in nursing, social work, assisted living, wound care, finance, insurance, and real estate — all focused on seniors.
Truly In-Person Care
We come to you. Your SHA Care Manager meets you at home, at the hospital, or wherever you need support — not over a phone or video screen.
24/7 Live Advocate Support
Real people available around the clock. When you have a question or a crisis, a live SHA advocate answers — not a voicemail or automated system.
Placement + Real Estate Integration
If your care plan requires a move, SHA uniquely offers concierge placement services and senior real estate expertise — all under one roof.
Ready to Get Started with CICM?
Call us today for a free eligibility check. If you qualify for both Medicare and Medi-Cal, you may be eligible for CICM services at no cost — with a dedicated SHA Care Manager by your side.
Medi-Medi Plans & Integrated Care — Explained by DHCS
This official DHCS video explains the 2026 expansion of integrated Medicare-Medi-Cal plans — the same dual-eligible population that CICM is designed to serve — and what integrated care means for seniors who have both Medicare and Medi-Cal.
Video provided by the California Department of Health Care Services (DHCS)
Frequently Asked Questions About CICM
Your Care. Coordinated. Simplified.
If you or a loved one qualifies for both Medicare and Medi-Cal, CICM through Senior Home Advocates can transform the way your care is managed — with one dedicated person who knows you, advocates for you, and coordinates everything on your behalf.
(714) 921-9200 Free Eligibility Check — No ObligationNo cost to eligible members · In-person care · Senior specialists · Orange County & Southern California