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MedicaidAdministrativeLow impact

24-1167m Improve Members' Health and Social Outcomes With Enhanced Care Management

Health Net·CA·Provider News
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net California has released a quick reference guide for Enhanced Care Management (ECM) eligibility. This informational update provides guidance on which members qualify for enhanced care management services across multiple provider types including physicians, hospitals, and behavioral health providers.

Action Required

Action needed
Download and review the Enhanced Care Management eligibility quick reference guide (PDF) from the Health Net provider portal to understand which Medi-Cal members qualify for ECM services. This is informational only and does not require immediate billing system changes.