KP Managed Medi-Cal Program

Enhanced Care Management (ECM): A Medi-Cal managed care benefit addresses clinical and non-clinical needs of high-need, high-cost individuals through coordinated services and comprehensive care management. ECM services are interdisciplinary, team-based, high-touch and person-centered.

Community Supports (CS): KP provides these services as a substitute to avoid utilization of other services such as hospital or skilled nursing facility admissions, discharge delays, or emergency department use.

For more information about ECM and CS, including information about how to refer members, click here: ECM & CS Information and Reference Guide.

• To download the ECM and CS referral form, click here: ECM & CS Referral Form.

For information on how to contract with KP to become an ECM or Community Supports provider, click here: Kaiser Permanente, Network Lead Entity FAQ.

In accordance with Medi-Cal requirements, Kaiser Foundation Health Plan, Inc. (KFHP) may make Proposition (Prop) 56 payments based on eligible services provided to KFHP Medi-Cal members. Please see below communications which include information on the various Prop 56 programs and eligibility requirements for payments to non KP providers.

• Adverse Childhood Experience 
• Developmental Screening
• Family Planning Services
• Hyde Payments
• Physician Services
• Value-Based Payments