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Panel: expanded care management providers struggling with documentation and payment pressures
Summary
Committee members warned that expanded care management (ECM) providers face capacity constraints and documentation requirements that may force some organizations to reduce services or close, potentially increasing demand on county Health and Human Services staff.
Marilyn Mochel told the committee that her understanding is that ECM programs have grown rapidly and that payment and administrative pressures are straining some providers’ ability to deliver services. She warned some ECM organizations “may end up closing their doors” if current conditions continue.
Fernando Granados and other members described operational barriers: stricter documentation requirements (including the need for both mental and physical diagnoses to qualify clients for ECM), transportation and gas costs limiting client attendance, and staffing shortages that lead to no‑shows and late cancellations. The committee noted that reduced provider capacity would increase demand on HSA and other county systems if clients lose access to services.
Committee members asked staff to track provider capacity and to include ECM program viability in follow‑up materials planned for the next meeting.
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