● CERTIFIED ECM PROVIDER

Enhanced Care Management

Whole-Person Care for Medi-Cal Members with Complex Needs
OverSightMD is a certified Enhanced Care Management (ECM) provider delivering comprehensive, community-based care management to Medi-Cal members across Central and Northern California. Our integrated team meets members where they are — at home, in the community, and across care settings — to coordinate the full spectrum of health and social services.
Enhanced Care Management for MediCal Members
MEDI-CAL STATEWIDE BENEFIT

What is Enhanced Care Management?

Enhanced Care Management (ECM) is a statewide Medi-Cal benefit established by the California Department of Health Care Services (DHCS). ECM provides equitable, person-centered, community-based care management for Medi-Cal members with the most complex health and social needs.

As a certified ECM provider, OverSightMD assigns each enrolled member a dedicated Lead Care Manager who coordinates all health and health-related care — from primary care and behavioral health to housing assistance and social services — ensuring nothing falls through the cracks.

ECM is provided at no cost to eligible Medi-Cal managed care members.

Enhanced Care Management Provider

Core ECM Services

Populations of Focus

Counties Served

24/7

Integrated Care Management

The Seven Core ECM Services

OverSightMD delivers all seven DHCS-defined core ECM services to enrolled members, ensuring comprehensive whole-person care management.

01 — Outreach & Engagement

Active, progressive, culturally competent outreach to connect with eligible members and build trust through in-person visits, calls, and community-based engagement.

02 — Comprehensive Assessment & Care Plan

Thorough biopsychosocial assessments evaluating medical, behavioral, and social needs. Person-centered care plans built collaboratively with the member.

03 — Enhanced Coordination of Care

Systematic coordination across all providers — primary care, specialty, behavioral health, dental, long-term services, and social supports.

04 — Health Promotion

Education, self-management coaching, and wellness strategies tailored to each member to promote preventive care and healthy behaviors.

05 — Comprehensive Transitional Care

Coordinating smooth transitions between care settings — hospital to home, facility to community, incarceration to re-entry.

06 — Member & Family Supports

Empowering members and their families through education, advocacy, peer support, and connections to resources that support recovery and stability.

07 — Coordination & Referral to Community & Social Supports

Connecting members to community-based resources and Community Supports including housing navigation, food assistance, transportation, benefits enrollment, and more.

ECM Populations of Focus

OverSightMD provides ECM services to Medi-Cal managed care members who qualify under one or more of the following DHCS-defined Populations of Focus.

Individuals & Families Experiencing Homelessness

At Risk for Avoidable Hospital or ED Utilization

Serious Mental Illness (SMI) or Substance Use Disorder

At Risk for Long-Term Care Institutionalization

Nursing Facility Residents Transitioning to Community

Justice-Involved - Transitioning from Incarceration

Pregnant or Postpartum at Risk for Health Disparities

Our Whole-Person Approach to ECM

OverSightMD addresses the complete spectrum of member needs — clinical, behavioral, and social — through an integrated care management model.
Health and Wellness

Health & Wellness Needs

Our clinical team — including physicians, nurses, and care coordinators — works closely with each member’s existing providers to ensure their medical needs are fully addressed and coordinated.
Primary care coordination and specialist referrals
Chronic condition management and monitoring
Medication management and adherence support
Preventive care screenings and health education
Remote patient monitoring and virtual rounding

Mental & Behavioral Health

OverSightMD’s behavioral health clinicians provide integrated support for members struggling with mental health conditions, substance use disorders, and co-occurring diagnoses.
Behavioral health assessments and crisis intervention
Substance use disorder treatment coordination
Psychiatric medication monitoring
Trauma-informed care and harm reduction
Coordination with county mental health and SUD systems
Mental and Behavioral Health
Social Needs and Community Supports

Social Needs & Community Supports

Addressing the social drivers of health is fundamental to ECM. Our care managers help members navigate community resources and Community Supports to address the root causes affecting their health.
Housing navigation and tenancy support services
Food access and medically tailored meal referrals
Transportation to medical appointments
Benefits enrollment assistance (SSI, CalFresh, etc.)
Employment support and life skills development

How ECM Works with OverSightMD

From referral to graduation, our structured process ensures every member receives consistent, high-quality care management.

Referral & Eligibility

Members are referred by their managed care plan, provider, community organization, or through self-referral. OverSightMD verifies eligibility.

Outreach & Enrollment

Our Lead Care Managers conduct culturally competent, in-person outreach to engage the member, build trust, and complete enrollment.

Assessment & Care Plan

A comprehensive biopsychosocial assessment is completed and a person-centered care management plan is developed collaboratively.

Active Care Management

Ongoing coordination of all health and social services, regular monitoring, health promotion, and continuous reassessment of the care plan.

Our California ECM Locations

OverSightMD delivers in-person Enhanced Care Management services from three offices serving Central and Northern California communities.

Milpitas (HQ)

1900 McCarthy Blvd
Suite 210
Milpitas, CA 95035
408-890-7000

Milpitas

1525 McCarthy Blvd
Suite 1000
Milpitas, CA 95035
408-890-7000

Merced

1170 W. Olive Ave.
Suite D
Merced, CA 95348
209-730-3533

Salinas

275 W. Laurel Dr.
Suite D
Salinas, CA 93906
833-388-8777

For Managed Care Organizations

OverSightMD partners with Medi-Cal managed care plans to deliver high-quality ECM services and drive measurable outcomes.

DHCS-Compliant Documentation & Reporting

Our platform captures all required ECM encounter data, care management activities, and outcome metrics aligned with DHCS reporting requirements.

All 7 Populations of Focus Served

We maintain the clinical and community expertise to serve every ECM-eligible population, with staff experienced in housing, justice-involved re-entry, SUD, SMI, and maternal health.

Proven Outcomes & Cost Reduction

Our proactive, integrated model reduces avoidable ER visits, prevents hospital readmissions, and improves member health outcomes — delivering measurable ROI for plans.

Integrated, Multidisciplinary Care Teams

Physicians, nurses, behavioral health clinicians, care coordinators, and community health workers — working as a single team within our real-time care management platform.

Seamless MCP Coordination

Real-time data exchange, timely clinical hand-offs, and transparent communication with managed care plan care management teams.
OverSightMD Platform

Let OverSightMD Be Your ECM Partner

Whether you are a Medi-Cal member seeking support, a managed care plan looking for a trusted ECM provider, or a community organization seeking to refer a client — we are here to help.
PHONE
833-388-8777
EMAIL
careteam@oversightmd.com
MERCED OFFICE
Merced@oversightmd.com