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California Community Health Care

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Our Service

Enhanced Care Management (ECM) Services

What is ECM?
Enhanced Care Management (ECM) is a statewide Medi-Cal benefit providing comprehensive care coordination to individuals facing complex health challenges.

Who We Serve

  • People experiencing homelessness or housing instability who also have complex health conditions.

  • Individuals with frequent hospitalizations or emergency room visits (“high utilizers”) due to chronic illnesses or other unmanaged health needs.

  • Adults with serious mental illness or substance use disorders who need help coordinating behavioral health care with other services.

  • People transitioning from jail or prison who have significant physical or mental health needs as they re-enter the community.

  • Older adults and people with disabilities at risk of being placed in long-term care institutions (nursing facilities) – our support helps them remain safely in their homes whenever possible.

  • Children and youth with complex medical or developmental conditions (such as those in California Children’s Services) who require coordinated care beyond regular medical services.

  • Youth in foster care or involved in the child welfare system, including former foster youth up to age 26, who often need extra support during life transitions.

  • Pregnant and postpartum individuals facing high health risks or disparities (for example, Black and Indigenous mothers who statistically experience higher rates of complications) – we provide enhanced care to improve maternal and infant health outcomes.

Our Services Include

These focus areas align with the Populations of Focus defined by CalAIM for Enhanced Care Management . In other words, CCHC serves the groups that California’s Medicaid program has identified as most in need of intensive, whole-person care. If you or someone you know falls into any of these categories and is enrolled in Medi-Cal, ECM could be a life-changing resource. We encourage you to reach out or submit a referral so we can determine eligibility and begin helping. (Please see below for more details on each Population of Focus and specific eligibility criteria.)

Populations of Focus

Families

Individuals and Families Experiencing Homelessness

Adults

Adults At Risk for Avoidable Hospital or ED Utilization

Mental Illness

Adults with Serious Mental Illness (SMI) or Substance Use Disorder (SUD)

Individuals

Individuals Transitioning from Incarceration

Medical Care

Medical Health Care

Risk

Adults at Risk of Institutionalization and Eligible for Long-Term Care

Nursing

Nursing Facility Residents Transitioning to the Community

Children

Children/Youth Enrolled in CCS or CCS WCM with Additional Needs

Welfare

Children and Youth Involved in Child Welfare

Pregnant

Pregnant and Postpartum Individuals (Birth Equity)

About Us

About California Community Healthcare

At California Community Healthcare (CCHC), we are dedicated to improving the health and well-being of Medi-Cal members across California.

With over one year of focused experience, our team has been delivering Enhanced Care Management (ECM) services that empower individuals, families, and communities to achieve better health outcomes.

Our mission is simple: Deliver compassionate, coordinated care that addresses each patient’s unique needs beyond the clinic walls.

We are proud to partner with clinics, hospitals, and community organizations to support high-need populations, ensuring no one falls through the cracks.

Why Choose California Community Healthcare?

We Take Care All Your Needs

Experienced ECM Team: Over a year of real-world ECM case management experience.

Multilingual Staff: Serving diverse populations in multiple languages.

Community-Driven Approach: Culturally sensitive, compassionate care.

Compliance-Focused: Fully HIPAA compliant and aligned with California DHCS ECM guidelines.

Member First: Individualized attention to every member’s journey.

Seamless Referrals: Fast intake process and direct collaboration with providers.

Contact Us

Get In Touch with the CCHC Team