Clearwater Care Partners delivers Enhanced Care Management to the members plans have the hardest time engaging: people without stable housing, and adults living with serious mental illness or substance use disorder. Los Angeles, San Bernardino, and Riverside counties.
Enhanced Care Management has no state-level provider enrollment pathway. Case management under taxonomy 251B00000X does not appear on any Department of Health Care Services enrollment list, in PAVE or on paper.
The CalAIM ECM Policy Guide, updated January 2026, addresses this directly: providers without a state-level pathway are not required to enroll in Medi-Cal and must instead be vetted by the managed care plan. Clearwater is that provider, and this page is organized around the vetting criteria the Policy Guide sets out.
What this means for your network team. There is no enrollment queue to wait on. Contracting can begin at your pace, not the state's.
Nothing in Clearwater's file is pending at a state agency. Timing is set entirely by your credentialing calendar.
A plan-agnostic readiness binder maps our documentation to each Policy Guide vetting criterion, in the order the guide lists them.
We submit against a defined set of populations of focus rather than claiming general ECM capability across all of them.
Clearwater applies for Enhanced Care Management only, for two named populations of focus. Nothing in our submission depends on a capability we have not built.
The identifiers a network analyst verifies first, in one place. Supporting documents are in the provider packet, available on request.
Diamond Bar sits on the Los Angeles and San Bernardino county line at the 57 and 60 interchange. ECM is field-based work, so coverage comes from plan contracts and staff deployment rather than a separate office in each county.
Every item below is a standard Clearwater is prepared to have written into a contract and measured against, not a description of intent.
Field-based contact attempts across street, shelter, hospital bedside, clinic, and residential settings. Attempts are logged individually, including the ones that fail, so engagement effort is visible rather than inferred.
A dedicated secure intake channel. Every referral receives a referral ID at submission and an acknowledgment within one business day, to the referring party and to the plan.
A referral is documented through to confirmation that the member connected. Our closing standard is arrival confirmed, not referral sent.
Assessments, care plans, and contact notes recorded as the work happens, under a signed HIPAA Business Associate Agreement, in a form that supports plan audit and chart review.
Response time, outreach attempts, enrollment status, and disposition tracked from referral forward, reportable on the plan's template and cadence.
Presence in the window around hospital discharge, program step-down, and moves between levels of care, the periods where members are most often lost between systems.
A named escalation contact with a defined response window, and a second named backup. Plan staff reach an accountable person, not a general inbox.
Every enrolled member has one identified lead care manager who owns the care plan. No shared queue, no rotating assignment.
We commit to a monthly intake number we can actually staff, and we raise it in writing as caseloads stabilize.
Ask about capacityECM network adequacy is rarely short on providers in general. It is short on providers who will take the members who are unhoused, unreachable by phone, and repeatedly readmitted.
Clearwater serves a narrow set of populations of focus rather than claiming all of them. A plan assigning members to us knows exactly which members those are.
Los Angeles and the Inland Empire under one contract and one operating standard, from an office on the county line.
Clearwater's founder built and ran a Southern California healthcare operation exceeding three million dollars in annual volume: multi-site coordination, payer-facing operations, and documentation discipline at scale.
Our model assumes the first attempt fails. Contact cadence, field outreach, and documentation recovery are built for members without a reliable phone or address.
For managed care plan network development, provider contracting, and credentialing teams, plus county partners and provider organizations exploring a subcontract or standing referral relationship.
Capability statement, readiness binder mapped to the ECM Policy Guide vetting criteria, W-9, NPI confirmation, formation documents, and the financial and staffing model from zero to five hundred members.
Request the packetReferrals from hospitals, clinics, behavioral health and substance use programs, shelters, and plan care management teams go through the secure referral form, not this page.
Refer a Member