For California Enhanced Care Management providers

Enhanced Care Management software, from care plan to clean PMPM billing.

Stop running ECM across a care-plan template, a contact log, a spreadsheet of monthly touches, and a billing portal. In CareAutomate your members' care plans, risk tiers, and every care-management contact live in one record — and each month's work becomes a PMPM-ready billing and encounter submission for the right Medi-Cal plan. Built for the CBOs and behavioral health providers delivering ECM.

Member record
Care planContactsServicesBilling
What is ECM?

Enhanced Care Management software, and the software that runs it.

Enhanced Care Management is a Medi-Cal managed care benefit that provides whole-person, in-person care coordination for members with the most complex needs — through a dedicated lead care manager and seven core services, from comprehensive care management to coordinating community supports. It's a separate benefit from Community Supports, paid per member per month, with its own G-code encounter reporting. CareAutomate runs that operational reality end to end.

Who it's for

ECM providers contracted with Medi-Cal managed care plans

Serving the ECM populations of focus:

  • Members experiencing homelessness
  • High utilizers of acute care
  • Members with serious mental health or substance use needs
  • Those transitioning from incarceration
  • Members at risk of or transitioning from institutional care
  • Children and youth

Confirm the current populations-of-focus list against DHCS before publish.

How it works

One member record. Care plan in, clean billing out.

1
Enroll & risk-tier
2
Care plan
3
Schedule & log monthly contacts
4
Track core services
5
Submit (PMPM + encounters)

Enrollment & Risk Tiering

Enroll members, tag their population of focus and risk tier, and keep authorizations and plan assignment on the record.

Care Plan Builder

Build and update each member's care plan with your own templates; goals, interventions, and the care team in one place, e-signed and versioned.

Scheduling Monthly Contacts

Schedule each member's required monthly care-management contacts across the care team in one calendar, so the month's touches are planned ahead and never missed.

Monthly Care-Management Contacts

Log every contact — in-person, telehealth, or outreach — from the field, tied to the member and the right code, so the month's required touches are documented as they happen, not reconstructed at billing time.

Real-Time Visit Capture

Staff clock in-person contacts in real time from the field — timestamped and location-stamped, locked to the member's record — for live proof of each contact.

In-app visit verification; does not yet integrate with the state Sandata EVV aggregator.

Core ECM Services Tracking

Document delivery of the core ECM services against each member.

Comprehensive care managementCare coordinationHealth promotionComprehensive transitional careMember & family supportReferral to community & social supports

PMPM + Encounter Billing

Each month's documented work becomes a PMPM-ready billing record and the encounter data with the correct G-code and modifier — no separate billing step, no re-keying.

Member Record

Care plan, contacts, services, and documents in one auditable place per member.

ECM codes & modifiersVerified — DHCS guidance v1.31

A G-code alone doesn't define an ECM service — the modifier does.

For example, G9008 needs U1 to mean an in-person clinical-staff service.

ECM serviceHCPCS CodeModifier
In-person, clinical staffG9008U1
Telehealth, clinical staffG9008U1, GQ
Outreach in-person, clinical staffG9008U8
Outreach telephonic, clinical staffG9008U8, GQ
In-person, non-clinical staffG9012U2
Telehealth, non-clinical staffG9012U2, GQ
Outreach, non-clinical staffG9012U8
Multidisciplinary team conferenceG9007none

→ See the full CalAIM coding cheat sheet for Community Supports codes too.

ECM + Community Supports

Running ECM and Community Supports? One system, one record.

ECM and Community Supports are different benefits, but the same organizations often deliver both — and Transitional Rent requires ECM enrollment alongside it. CareAutomate keeps a member's ECM care plan and their Community Supports in the same record, so you don't run two systems for one member.

HIPAA infrastructure, BAA with every customer, role-based access, full export anytime.

New to ECM billing or switching systems? Free migration, no long-term contract, and we stay with you through your first PMPM cycle.

FAQ

Common questions

Yes — each month's documented care management becomes a PMPM-ready billing record plus the correct G-code encounter data for your plan.

Yes — build care plans from your own templates, tag population of focus and risk tier, and keep everything versioned and e-signed on the member record.

Yes — in-person, telehealth, or outreach, from their phone, tied to the right member and code.

Yes — we produce the encounter and billing records in the format your managed care plan accepts.

Yes — one record per member covers both, which matters for Transitional Rent (it requires ECM).

See your ECM month run end to end.

In 20 minutes we'll take a member from enrollment → care plan → a month of contacts → PMPM-ready billing, on your real workflow. No card, no obligation — you'll talk to a CalAIM specialist.

Book a 20-minute walkthrough