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 your 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.
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!
Questions? We Can Help:
• Confirm client eligibility
• Enroll clients in ECM and CS
• Schedule us for a tabling event
• Schedule a visit to your organization
• Provide instruction for submitting referrals
Why Partner with MedZed?
Highly Effective Outreach
We focus on finding and engaging hard-to-reach members.
40% Enrollment Rate for referred members.
Part of Your Community
We hire teams directly from the communities we serve.
Over 200 locally-based field staff in 18 California counties.
Proven, Trusted Partner
Major California health plan ranked MedZed:
#2 out of 30 ECM providers in Los Angeles
#4 out of 20 ECM providers in San Diego
Submit a Referral
We participate in many community events and visit organizations to help both individuals and providers learn about the free ECM services Medi-Cal offers.
MedZed is proud to partner with Butler Food Pantry in Fresno, CA, to help meet the health-related social needs of underserved community members.
MedZed at Omatochi Senior Living event.
MedZed loves collaborating with local food banks to help our members get the resources they need.
MedZed is proud to partner with Butler Food Pantry in Fresno, CA, to help meet the health-related social needs of underserved community members.
Download and complete the form above, then email the form to us at referrals@mymedzed.com to help expedite services.
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