MedicaidAdministrativeLow impact
Care Management & Enhanced Care Management -Transitional Care Services
L.A. Care Health Plan·CA·Provider Communication
We identified it
Jun 20, 2026
Summary
L.A. Care Health Plan has updated their Care Management, Enhanced Care Management, and Transitional Care Services programs for Direct Network patients. The policy provides contact information and referral processes for coordinating patient care, including post-discharge support within 30 days.
Action Required
No immediate billing system changes required. Front desk staff should inform providers about available Care Management referral options for L.A. Care Direct Network patients. Keep CM Referral Form accessible and note contact numbers: CM referrals (844) 200-0104, fax (213) 438-5077, and TCS Program (888) 524-4832 for post-discharge support within 30 days.