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MedicaidAdministrativeMedium impact

Provider Bulletin 06-27-2025 ECM Benefit for Medi-Cal Beneficiaries with Complex Medical and Social Needs IE LA SAC SD

Molina Healthcare·CA·Medicaid
Effective date
Jun 27, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Molina Healthcare of California is expanding Enhanced Care Management (ECM) benefits for Medi-Cal beneficiaries with complex medical and social needs across multiple counties. Providers should familiarize themselves with eligible populations and use the ECM referral process to connect qualifying members with comprehensive care management services.

Action Required

Action needed
Immediately: Review the updated ECM Populations of Focus to identify eligible Medi-Cal members. Use the Molina ECM Referral Form (available at molinahealthcare.com/providers/ca/medicaid/forms/fuf.aspx) or county-approved forms to refer qualifying members. Submit referral forms to MHC_ECMReferrals@molinahealthcare.com. Coordinate with assigned ECM providers who may contact your practice for treatment plans and medication information for enrolled members.