MedicaidAdministrativeMedium impact
22-076m Enhanced Care Management (ECM) Eligibility Reports Help You Best Serve High-Cost, High-Need Members
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net will publish monthly Enhanced Care Management (ECM) eligibility reports through their provider portal to help identify high-cost, high-need Medi-Cal members who qualify for comprehensive care management. Providers can access these reports to better serve 12 specific populations including homeless individuals, high utilizers, and those with serious mental illness or substance use disorders.
Action Required
Immediately: Providers should access the Health Net provider portal monthly to review ECM eligibility reports. Log in to provider portal, select Provider Reports under Welcome, then go to Healthnet.com and select ECM_RPT_BRM_43 report. Review member demographics and enrollment status to identify patients who qualify for Enhanced Care Management services.