Contra Costa Health Statement Regarding Enhanced Care Management
Contra Costa Health (CCH) is aware of a claim by a local news agency that the state Department of Justice (DOJ) is conducting a criminal investigation of its Enhanced Care Management program. CCH has no knowledge of any such investigation occurring.
This claim was first published in December 2024, attributed to unnamed sources. CCH has received no indication from DOJ of such an investigation, and is unaware of any wrongdoing by employees past or present that would warrant investigation.
Enhanced Care Management (ECM) is an innovative approach to delivering Medi-Cal benefits to county residents who have complex and interrelated healthcare and social needs, such as homelessness, behavioral health concerns and chronic health conditions. Contra Costa’s program is one of several operating through the state Department of Health Care Services’ (DHCS) Cal-AIM initiative.
CCH promptly investigates all concerns raised regarding its ECM program through established, documented processes that are subject to regular review by DHCS, which regulates the quality-of-care and budgetary aspects of this program and all other Medi-Cal services administered through CCH.
Contra Costa Health Plan, the division of CCH that administers Medi-Cal benefits to Contra Costa County residents, also receives a routine annual audit from DHCS. These audits can result in findings that must be corrected to continue managing benefits on behalf of the state.
CCH is working closely with DHCS on its next annual audit findings, which is expected to be discussed at an upcoming meeting of the Contra Costa Board of Supervisors’ Joint Conference Committee.
CCH welcomes audits, which are tools that help us to identify areas for improvement and provide better care for our patients and clients.
- Read related statement from Candace J. Kay Andersen, Chair of the Contra Costa County Board of Supervisors
