MEDI-CAL ENHANCED CARE MANAGEMENT · CALAIM

Complex needs.
Clear path forward.

Clearwater Care Partners delivers Enhanced Care Management to Medi-Cal members whose medical, behavioral, and social needs cross more systems than any one of them can manage alone. One lead care manager. One accountable team. Across Los Angeles and the Inland Empire.

Los Angeles County San Bernardino County Riverside County Referrals acknowledged within one business day
THE PROBLEM ECM SOLVES

A member with four needs shouldn't have to navigate four systems.

A member leaves the hospital with a new diagnosis, no stable housing, an untreated substance use disorder, and a plan card they have never used. Four systems, four intake processes, four waitlists, and no one accountable for whether any of it connects.

Enhanced Care Management exists to put one person in charge of that whole picture. That person is a Clearwater lead care manager.

One lead care manager

A single named person who owns the member's full picture. Not a call center, not a rotating queue.

Field-based, not office-based

We meet members where they are: street, shelter, hospital bedside, clinic, or residential program.

Closed-loop follow-through

A referral isn't finished when it's sent. It's finished when we confirm the member arrived.

Built to report

Response times, outreach attempts, and enrollment outcomes are tracked and reportable to the health plan.

ENHANCED CARE MANAGEMENT

What we actually do

Enhanced Care Management is a Medi-Cal benefit under CalAIM designed for members with complex medical, behavioral health, and social needs. Clearwater brings those needs into one coordinated plan through comprehensive assessment, care planning, field-based engagement, health system navigation, and closed-loop follow-through.

The benefit covers eight functions. Clearwater delivers all eight.

Comprehensive assessment

A structured look at medical, behavioral, functional, and social needs together, including housing, food, benefits, and transportation.

Individualized care planning

A written plan built with the member around goals they actually claim, reviewed and revised as circumstances change.

Care coordination

We convene the people already involved, including primary care, specialists, behavioral health, and housing, so the plan is one plan.

Health system navigation

Appointments coordinated, transportation arranged, authorization needs followed through, and missed connections actively re-engaged.

Transitional care

The days around a hospital discharge or a move between programs are where members are lost. We are present in that window.

Community & social resources

Referrals into housing, food, benefits enrollment, legal aid, and recovery support, with follow-through to confirm the member connected.

Member & family support

Education, coaching, and support for the people around the member, often the difference between a plan that holds and one that does not.

Ongoing follow-up

Continuous engagement at a cadence set by acuity, not a single assessment and a closed file.

Referring is one form

Four minutes, secure, and acknowledged within one business day.

Refer a Member
WHO WE SERVE

Populations of focus

Clearwater does not serve every ECM population. We are built for the two that are hardest to reach and easiest to lose: people without stable housing, and adults living with serious mental illness or substance use disorder, very often both at once. Depth in those two populations is the entire strategy.

People experiencing homelessness

Members who are unsheltered, in shelter or interim housing, or at imminent risk of losing housing, including those cycling between the street, the emergency department, and short stays.

  • Street and shelter-based outreach
  • Coordination with housing navigation and interim housing
  • Benefits and documentation recovery
  • Engagement without a reliable phone or address

Serious mental illness & substance use

Adults with significant behavioral health needs, substance use disorder, or both, frequently alongside chronic physical conditions and repeated acute care use.

  • Coordination across county behavioral health and physical health
  • Warm connection to treatment and recovery support
  • Post-crisis and post-discharge follow-through
  • Engagement that survives missed appointments

Not sure a member qualifies?

Eligibility is determined by the member's Medi-Cal managed care plan, not by us. If you think a member needs this and you are not certain they are eligible, send the referral anyway. We verify enrollment, plan, and population of focus, and we tell you either way.

Refer a Member
REFERRAL PARTNERS

Why partners refer to Clearwater

You are already doing the work of holding a member's care together. Referring to ECM moves that weight to a team whose entire job is to carry it, and who reports back to you.

Hospitals & discharge planners

A discharge destination for members who keep returning. We take the referral before discharge and make contact in the transition window.

Physicians & clinics

We extend the care team beyond the clinical visit, addressing the social, logistical, and coordination needs that can otherwise interfere with the treatment plan.

Behavioral health & SUD programs

Continuity when a client steps down from treatment. We cover the physical health and housing side while you hold the clinical work.

Shelters & community organizations

Health system navigation for the people already in your programs, without adding to your staff's caseload.

Medi-Cal managed care plans

An ECM provider specialized in the populations hardest to engage, with response times and enrollment outcomes tracked and reportable. See our health plan page ›

WHAT HAPPENS AFTER YOU REFER

From referral to ongoing support

1

Referral

Submitted securely and logged with a referral ID. Acknowledged within one business day.

2

Eligibility review

Medi-Cal enrollment, managed care plan, and population of focus verified.

3

Outreach

We reach the member where they are, in the field, not by voicemail alone.

4

Assessment

Comprehensive review of medical, behavioral, and social needs together.

5

Care plan & coordination

A lead care manager is assigned and the plan is built with the member.

6

Ongoing support

Continuous engagement, with updates back to the referring partner.

ABOUT CLEARWATER

Built for members navigating the most complex systems of care.

Clearwater Care Partners is a California company delivering Enhanced Care Management across Los Angeles, San Bernardino, and Riverside counties. Clearwater was built to close the gaps between medical care, behavioral health, housing, social services, and community-based support. We specialize in members whose needs cross multiple systems, and we build the field-based coordination required to keep those systems connected.

Our work sits in the space between those systems, where a discharge summary does not reach a shelter, where a shelter bed and a clinic appointment fall on opposite sides of the county, where a member has a plan card and no way to use it. The members hardest to reach are not unreachable. They are under-resourced by systems that were never designed to coordinate with each other.

Specialize deliberately

We serve a defined set of populations of focus exceptionally well rather than spreading thin across all of them. Depth in the hardest populations is the point.

Go to the member

Our field-based model prioritizes teams with experience engaging populations facing homelessness, behavioral health needs, substance use challenges, and other barriers to traditional care.

Close the loop

A referral is not complete when it is sent. Our documentation standard is confirmation that the member arrived, and an update back to whoever referred them.

Measure what we manage

Response time, outreach attempts, and enrollment outcomes are tracked as the work happens, so what we report to a health plan is recorded, not reconstructed.

HOW WE OPERATE

What accountability looks like day to day

Enhanced Care Management only works when someone is accountable for the whole picture. These are the operating standards that accountability runs on.

INTAKE
Secure referral channel
A dedicated intake system with referrals transmitted and stored under a signed HIPAA Business Associate Agreement.
RESPONSIVENESS
One business day
Every referral is logged with a referral ID and acknowledged within one business day of submission.
ACCOUNTABILITY
A named lead care manager
Every member has one identified care manager who owns their plan, not a shared queue.
ENGAGEMENT
Field-based by design
Outreach happens where members are: street, shelter, hospital bedside, clinic, or residential program.
COORDINATION
Across fragmented systems
Managed care plans, county behavioral health, housing, and primary care, coordinated into one plan.
DOCUMENTATION
Closed-loop standard
Referrals are documented through to confirmation that the member connected, with an update back to the referring partner.
REPORTING
Tracked end to end
Response time, outreach attempts, and enrollment status are tracked from referral through disposition.
SERVICE AREA
LA & Inland Empire
Los Angeles, San Bernardino, and Riverside counties, staffed by deployment rather than by office.
GET IN TOUCH

Two different conversations

Referring a member and contracting with Clearwater are different tasks. They should not share an inbox.

Refer a Member

For hospitals, clinics, behavioral health and SUD programs, shelters, and health plan care teams sending a member to Clearwater.

Start a secure referral
Urgent referrals: (909) 500-9744
Monday–Friday, 8:00 AM – 6:00 PM PT
Acknowledged within one business day

Partner With Clearwater

For managed care plan network and contracting teams, county partners, and provider organizations exploring a subcontract, a standing referral relationship, or capacity in a specific service area.

See our health plan page
ECM@clearwatercarepartners.com
1370 Valley Vista Dr, Suite 200
Diamond Bar, CA 91765