Enhanced Care Management (ECM) — Your Dedicated Care Manager, In Person
If you or a loved one is a Medi-Cal member with complex health and social needs, ECM through Senior Home Advocates provides a single, dedicated Lead Care Manager who coordinates everything — at no cost to you.
Call for a Free Eligibility Check
(714) 921-9200
What Is Enhanced Care Management?
Enhanced Care Management (ECM) is a statewide Medi-Cal Managed Care Plan benefit that provides equitable, person-centered, community-based care management for members with the most complex health and social needs. It is part of California's CalAIM initiative — a multi-year effort to transform and improve Medi-Cal for the state's most vulnerable residents.
At the heart of ECM is a single Lead Care Manager — a dedicated professional who serves as your primary point of contact, coordinates all of your clinical, behavioral, and social services, and advocates for your needs across every provider and system you interact with.
For Senior Home Advocates, ECM is not just a program — it is an extension of the in-person, concierge care model we have always provided. Our Lead Care Managers bring the same depth of expertise in nursing, social work, finance, and senior care that defines everything SHA does.
The 6 Core ECM Service Components
1. Outreach & Engagement
In-person outreach to identify and engage eligible members, including those who are hard to reach or have disengaged from care.
2. Comprehensive Assessment & Care Planning
In-depth assessment of clinical, behavioral, functional, and social needs — resulting in a personalized, member-driven care plan.
3. Care Coordination
Coordination across all providers, plans, and community organizations — ensuring nothing falls through the cracks.
4. Health Promotion
Education, coaching, and support to help members understand their conditions, manage their health, and prevent crises.
5. Transitional Care
Support during transitions between care settings — hospital to home, SNF to community — to prevent readmissions and ensure continuity.
6. Member & Family Support
Education and support for family members and caregivers, plus coordination with and referral to community and social support services.
Who Qualifies for ECM?
ECM is available to Medi-Cal Managed Care members across 9 defined Populations of Focus. SHA specializes in seniors and older adults — but serves members across multiple populations.
Experiencing Homelessness
Currently unhoused or at imminent risk of losing housing.
At Risk of Chronic Homelessness
History of homelessness with complex medical or social needs.
Transitioning from Incarceration
Recently released from jail, prison, or youth detention.
High Utilizers of Emergency Services
Frequent ER visits or hospitalizations that could be prevented with better care coordination.
SHA Serves This Population
Transitioning from Institutional Settings
Leaving a skilled nursing facility, IMD, or other long-term care setting.
SHA Serves This Population
Children/Youth in Child Welfare
Youth involved in the foster care or child welfare system.
Adults with Serious Mental Illness or SUD
Significant mental health or substance use disorders requiring coordinated care.
Pregnant/Postpartum with Complex Needs
High-risk perinatal individuals with complex medical or social needs.
Older Adults & Adults with Disabilities
At risk of institutionalization or nursing home placement — SHA's core area of expertise.
SHA's Primary Population — Senior Specialists
Not sure if you qualify? Call us and we'll check your eligibility at no cost.
(714) 921-9200 — Free Check
What SHA's Lead Care Managers Provide
Your dedicated SHA Lead Care Manager is your single point of contact — coordinating every aspect of your care, in person, at no cost to you.
In-Home Assessment
Your SHA Care Manager comes to you — conducting a comprehensive in-person assessment at your home, hospital, or care facility to understand your full situation.
Personalized Care Plan
A detailed, member-driven care plan that addresses your medical, behavioral, functional, and social needs — and maps out a clear path to better health and stability.
Doctor Coordination
Your SHA Care Manager meets with your doctors and specialists — ensuring everyone is aligned, test results are shared, and follow-up appointments are kept.
Medication Management
Help understanding your medications, coordinating refills, identifying coverage gaps, and ensuring you have access to every prescription you need.
Hospital Transition Support
When you are discharged from a hospital or skilled nursing facility, your SHA Care Manager ensures a safe, supported transition — preventing readmissions and complications.
Community Resource Connection
Connecting you to Community Supports services — including home modifications, medically tailored meals, transportation, and housing assistance — at no cost.
Family & Caregiver Support
Educating and supporting your family members and caregivers so they can confidently participate in your care and know exactly who to call when questions arise.
24/7 Live Advocate Access
A real SHA advocate is available around the clock — not a voicemail, not a chatbot. When you have a question or a crisis, we answer.
How to Get Started with ECM
Enrolling in ECM through SHA is simple. From your first call to a fully coordinated care plan, we handle every step.
Call or Request a Check
Call (714) 921-9200 or submit a request online. We'll verify your Medi-Cal enrollment and ECM eligibility at no cost.
Enrollment & Consent
If you qualify, we complete the enrollment process with your Managed Care Plan and obtain your consent to begin services.
Meet Your Care Manager
Your dedicated SHA Lead Care Manager contacts you within days to schedule an in-person meeting and begin your assessment.
Care Plan & Coordination
Your Care Manager builds your personalized plan, coordinates with your providers, and begins connecting you to services and supports.
Ongoing Advocacy
Your SHA Care Manager stays with you — monitoring your progress, adjusting your plan, and advocating for your needs over time.
What Does a Lead Care Manager Do?
Hear directly from a Lead Care Manager about what the role involves — the in-person visits, the coordination, and the difference a dedicated care manager makes for members with complex needs.
Video provided by the California Department of Health Care Services (DHCS)
Why SHA Is the Right ECM Provider for Seniors
Not all ECM providers are the same. SHA's senior-specialist model, in-person concierge approach, and integrated services set us apart from every other provider in the region.
| Differentiator | Senior Home Advocates | Access TLC | Alzheimer's OC | Large Health Plans |
|---|---|---|---|---|
| Senior-Specialist Focus | ✓ Core Mission | ✗ Broad populations |  Dementia only | ✗ All populations |
| In-Person, Concierge Care | ✓ Always in person | Partial | Partial | ✗ Phone/portal |
| Concierge Placement Services | ✓ Unique to SHA | ✗ | ✗ | ✗ |
| Senior Real Estate Expertise | ✓ Unique to SHA | ✗ | ✗ | ✗ |
| Financial & Insurance Expertise | ✓ Unique to SHA | ✗ | ✗ | ✗ |
| 24/7 Live Advocate Support | ✓ Yes | ✗ | ✗ | ✗ |
| Orange County Presence | ✓ Headquartered OC | ✓ | ✓ | Regional |
| Multi-Disciplinary Team (7+ fields) | ✓ Yes | Limited | Limited | Siloed |
| CICM / Dual-Eligible Capability | ✓ Expanding 2026 | ✗ | | Plan-specific |
Ready to Get Your Own Dedicated Care Manager?
Call SHA today for a free eligibility check. If you qualify, we'll connect you with a dedicated Lead Care Manager — in person, at no cost — within days.
Frequently Asked Questions About ECM
You Deserve a Care Manager Who Knows You.
Senior Home Advocates provides ECM the way it was meant to be delivered — in person, by a dedicated Lead Care Manager who meets you where you are, coordinates everything on your behalf, and stays by your side for as long as you need support.
(714) 921-9200 Free Eligibility Check — No ObligationNo cost to eligible Medi-Cal members · In-person care · Senior specialists · Orange County & Southern California