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Enhanced Care Management (ECM) - 211 San Joaquin | Get Connected. Get Help.

Enhanced Care Management (ECM)

Agency: KOINONIA FAMILY SERVICES

  • Description:

    Offers extra services to Medi-Cal members with complex needs, helping with both health and personal challenges to improve long-term well-being.

    A Lead Care Manager works with doctors, specialists, mental health providers, and other care staff to ensure patients receive the care they need.

    Service includes:

    • Coordinating care based on the individual's specific medical and social needs
    • Helping individuals understand and manage medications
    • Helping individuals schedule appointments
    • Finding and applying for services in the individual's community
    • Working with individuals and their families to improve their health

    The program is supported by CalAIM, also known as the Medi-Cal Transformation Initiatives

    • Phone:

    Email: myeary@kfh.org
    Website: https://kfh.org/ecm/

    Program Hours

  • Hours: Mon: 8am - 5pm; Tue: 8am - 5pm; Wed: 8am - 5pm; Thu: 8am - 5pm; Fri: 8am - 5pm;

    • Location(s)

    Koinonia Modesto Office - Modesto

    • Accessibility: Fully accessible to individuals using mobility aids Designated, accessible parking spaces
    • Address: 406 Motor City Court, Modesto, CA 95356

    Program Delivery

    • Eligibility: Must meet eligibility requirements: -Must be a Medi-Cal member with Molina Healthcare, Kaiser Permanente, HealthNet, Anthem BlueCross, or Partnership HealthPlan of California -Must live in the state of California And meet the following requirements: -Be homeless or don’t have a stable place to live -At risk for avoidable hospital or emergency department care -Have a serious mental health condition or struggle with drug or alcohol use -Transitioning from incarceration -At risk of entering a nursing home or facility -Staying in a nursing home or facility and need help to transition back to the community -Pregnant or had a baby in the last year and are Black, American Indian, Alaska Native, or Pacific Islander Children, or youth under 21, are eligible if they: - Are homeless or don’t have a stable place to live - Are at risk for avoidable hospital or emergency department care - Have a serious emotional or mental health condition or struggle with drug or alcohol use - Are part of California Children’s Services (CCS) or Whole Child Model (WCM) and have additional social needs. This can include, but is not limited to food, stable housing, or transportation. Or they are having a mental health or substance use crisis, or have had recent contact with police - Are in foster care now or have a history of being in a child welfare program or foster care - Are transitioning from incarceration - Are pregnant or had a baby in the last year and are Black, American Indian, Alaska Native, or Pacific Islander
    • Languages: English, Spanish
    • Application Process: Call for telephone intake, call to schedule an appointment, or visit website at www.kfh.org/ecm/
    • Program Fees: Free
    • Required Documents: Medi-Cal ID and Health Plan Member information

      • Service Area

    • Defined Coverage Area: N/A