Quizizz Video: What are Enhanced Care Management & Community Sup

What is the primary goal of Enhanced Care Management under CalAIM?

• To provide intensive community-based care navigation

• To reduce the cost of healthcare for providers

• To promote self-care among patients

• To increase the number of healthcare facilities

As of January 2023, which group is eligible for the ECM benefit?

• Members with minor health issues

• All residents of California

• SenCal Health members experiencing homelessness, severe mental illness, and substance use disorders

• Only children under the age of 18

How often will new populations become eligible for the ECM benefit?

• Every month

• Every six months

• Every two years

• Annually

Who can refer members to ECM services?

• Self-referral is not allowed

• Primary care physician, Behavioral Health provider, Police Department, community and government agencies, and the member's family or authorized representative

• Only the member's family

• Only the member's primary care physician

What is one of the roles of a singular case manager in ECM?

• To help with physical health care needs and other aspects like mental health services, access to food, and shelter

• To conduct surgical operations

• To provide legal advice

• To prescribe medications

What is the purpose of partnering with non-traditional providers in CalAIM?

• To reduce healthcare costs

• To provide legal support to members

• To connect members with primary care physicians and coordinate care, especially for those who have been chronically homeless

• To focus solely on mental health issues

What is the goal of community supports under CalAIM?

• To provide emergency medical services only

• To allow members to receive care in the least restricted environment and address social determinants of health

• To offer cosmetic medical services

• To focus on pediatric care exclusively

Which of the following is NOT listed as a community support service provided by SenCal Health as of January 2023?

• Medically tailored meals

• Recuperative care

• Cosmetic surgery services

• Housing tenancy and sustaining services

What is recuperative care?

• A long-term care facility for the elderly

• An educational program on nutrition

• A fitness program for recovering athletes

• A service that provides medically supervised respite care to homeless individuals after hospital discharge

How does SenCal Health support ECM providers?

• By providing educational materials only

• By offering legal advice

• By providing funding to support enhanced Care Management activities

• By supplying medical equipment