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L.A. Care Health PlanMedicaid · Administrative · Provider Communication · CALow impact

Care Management & Enhanced Care Management -Transitional Care Services

Effective date
Not stated in the notice
Identified
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.

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What to do

Action · 4 steps
01No immediate billing system changes required.
02Front desk staff should inform providers about available Care Management referral options for L.A.
03Care Direct Network patients.
04Keep 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.

Original notice

Care Management & Enhanced Care Management -Transitional Care Services
lacare.org · Always check the source before changing claims.
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