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For Community Partners in California

Connect Clients to ECM and CS Services

In California, MedZed offers Enhanced Care Management (ECM) and Community Supports (CS) services at no cost to eligible Medi-Cal members. MedZed partners with many Community-based Organizations and Services to get high-need individuals al the help they need

 

As an ECM provider, we bring an extra layer of support to high-need Medi-Cal members. Our field staff of Community Health Navigators (CHNs) act as lead care managers, working one-on-one, in-person with members to coordinate their health and health-related services.

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MedZed’s services are fully funded by the Enhanced Care Management (ECM) and Community Supports (CS) benefits under Medi-Cal’s CalAIM program and do not replace or take away existing benefits.

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Understand the Programs and Check Eligibility

Who Is Eligible for ECM?

ECM is intended for the highest-risk, highest-cost Medi-Cal managed care members with the most complex medical and social needs. To be eligible for ECM, members must be enrolled in a Medi-Cal managed care health plan and meet the criteria for an approved Population of Focus (PoF), including:

• Adults without Dependent Children/Youth Living with Them Experiencing Homelessness

• Homeless Families or Unaccompanied Children/Youth Experiencing Homelessness

• Individuals At Risk for Avoidable Hospital or ED Utilization

• Individuals with Serious Mental Health and/or SUD Needs

• Children and Youth Enrolled in California Children’s Services (CCS) or CCS Whole Child Model (WCM) with Additional Needs Beyond the CCS Condition

• Children and Youth Involved in Child Welfare
 

Questions about a member’s eligibility? We can verify their status for you!

ECM Overview

& Qualifications

CS Overview

&Qualifications

What About Community Supports?
Some Medi-Cal health plans also offer benefits for specific services that help address a member’s health-related social needs (HRSNs). MedZed works with plans to provide:

• Housing Transition / Navigation Services

• Housing Tenancy and Sustaining Services

• Housing Deposits Services

Contact us to find out if your members are eligible!

How to Get Started

• Confirm client eligibility

• Enroll clients in ECM and CS

• Answer questions about programs and services

• Present at your organization

• Share materials for client self-referrals

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Contact Us

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Why Partner with MedZed?

Major California Health Plan ranked MedZed

#2 out of 30 ECM providers in Los Angeles

#4 out of 20 in San Diego in 2024

You provide critical services for clients in your community but can not address all their needs

Your clients have multiple complex needs that need coordination

You are unsure of all the services your clients are eligible for

Our CHNs are well-networked in their communities—they connect your clients to all the resources they need

Our Community Health Navigators act as lead care managers. They bring everything together for clients and provide intensive, ongoing support

We can verify their eligibility– just contact us!

Contact Us

We participate in many community events and visit organizations to help both individuals and providers learn about the free ECM services Medi-Cal offers.

We're in Your Community

What service are you interested in?

Keep up with our Newsletter 

Click the latest cover to access our past Newsletters

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