ENHANCED CARE MANAGEMENT (ECM)
What is Enhanced Care Management?
This no-cost KHS program serves members with complex health issues or social needs. Your care team will include a Doctor, Nurse, Case Manager and care coordinator who all work along with your personal support system to create a special care plan for you.
Enhanced Care Management will not change any current plan services clients have. Members can keep their current Doctor and Specialists, plus get:
• A care team and case managers
• An individualized care plan to meet tailored needs
• Guidance through the health care process and referrals
• Rewards for keeping scheduled office visits
SERVICES
• Physical Health
• Behavioral Health Integration
• Substance Use Disorder (SUD) Services
• Social Services
• Care Coordination & Management - Find doctors and help set up doctors’ visits
• Transportation - Set up a ride for your health visits
• Transition of Care (TOC) - Get follow-up services after you leave the hospital
• Management of medications
WHO IS ELIGIBLE?
You may be eligible for ECM if you meet any of the items below:
-
Individuals at risk of institutionalization
-
Nursing facility residents who want to transition to the community
-
Individuals and families experiencing homelessness
-
Adult substance utilizers
-
Adult serious mental illness (SMI) patients
-
Individuals transitioning from incarceration