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CARE
MANAGEMENT

What is Care Management? 

For children to thrive at home, the economic and social stability of their families is critical. Social work care management through our Enhanced Care Management and Infant and Family Care Management Programs offers children in the wider community access to bilingual social work case management to ensure families have the resources they need today and every day.

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Enhanced Care Management 

ECM is a Medi-Cal benefit for individuals with complex needs. Coastal Kids Home Care ECM program supports children ages 0-21 with medical complexity or disabilities in Monterey, Santa Cruz, and San Benito County who would benefit from support in accessing healthcare, education, nutrition, economic, and other vital resources.

Who qualifies for ECM?

Families in Monterey, Santa Cruz, and San Benito counties who face barriers to accessing adequate resources to ensure their medically complex child can thrive. This may include limitations around language, transportation, nutrition, adequate housing, and other challenges which limit a caregiver’s ability to coordinate with primary and specialty care physicians, develop care goals for their child, and access community resources. Healthcare providers can refer via phone, fax or email.

What are the benefits of ECM?

Examples of care management support may include:

 

  • Reinforcing connections with primary care providers, and pediatric specialists and facilitating follow-through on appointments and recommendations.

  • Identifying socio-economic needs of the family and making closed-loop referrals to community providers.

  • Encouraging caregivers to develop and take ownership of care goals for their child and family over the long-term.

Make a Referral

Please complete the form at the link below to determine your eligibility or the eligibility of your client for ECM or IFCM services.

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Infant and Family Care Management 

IFCM is a community health program which supports the health and wellbeing of infants and families affected by social and economic inequality. This program supports infants and toddlers in Monterey, Santa Cruz, and San Benito County whose caregivers would benefit from support in accessing healthcare, education, nutrition, economic, and other vital resources.

Who qualifies for IFCM?

Families in Monterey, Santa Cruz, and San Benito counties who face barriers to accessing adequate resources to ensure their infant can thrive. This may include limitations around language, transportation, housing, and other challenges which limit a caregiver’s ability to access a primary care physician, follow through on well-baby visits, and track their infants’ progress toward developmental milestones. Families can self-refer or be referred by a healthcare provider.

What are the benefits of IFCM?

Examples of care management support may include:

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  • Reinforcing connections with primary care provider and facilitating appointments and follow-through on recommendations.

  • Identifying socio-economic needs of the family and making closed-loop referrals to community providers.

  • Encouraging parents to track progress toward developmental milestones and advocating engagement with early start resources.

IFCM is funded by Central California Alliance for Health

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