Enhanced Care Management
Community Heath Workers
Real Community Support

Enhanced Care
Management (ECM)
Real support for complex needs
Enhanced Care Management (ECM) is a Medi-Cal benefit designed for individuals with the most complex health and social needs, It provides ongoing, coordinated support to help individuals stay stable, connected, and supported over time.
At The Link Family Resource Center. ECM means you are not navigating systems alone. You will have a dedicated community health worker helping you every step of the way.

What ECM Helps With
ECM focuses on addressing the root causes Of instability.
not just immediate needs.
We can help!
Housing and
homelessness
support
Food access
and basic
needs
Medical and
behavioral health
coordination
Transportation Barriers
School and
family support
Ongoing follow-up
so you don't feel
lost or forgotten
Who Qualifies for ECM
ECM is for Medi-Cal (Cencal Health)
members who meet at least one
Population Of Focus.
Core Eligibility Example
You may qualify if you are:
- Experiencing homelessness or at risk of losing housing
- Living with serious mental health or emotional challenges
- Living with substance use disorder and need recovery support
- Managing multiple chronic health conditions (e.g.. diabetes. heart disease)
Additional Qualifiers for ECM
l individuals Experiencing Homelessness
2 High Utilizers or Healthcare services
3 Pregnant and Postpartum Individuals
4 Children and Youth with Complex Needs
5 1ndividuals Transitioning from Incarceration
or Institutional settings
--
You
- Managing multiple chronic health conditions (e.g.. diabetes. heart disease)

Who Qualifies for ECM
ECM is for Medi-Cal (Cencal Health)
members who meet at least one
Population Of Focus.
ECM Community Health Workers provide services to families that include:
- Support accessing food, housing, clothing, health care, and parent education
- Assistance navigating the social services system for mental health services, disability benefits, drug and alcohol recovery, adoption and guardianship support and family reunification
- Advocacy for students and their families by coordinating with teachers, school counselors, and principals to support academic success
- Linkages to community partners for domestic violence services, homeless services, transportation, employment resources and much more.
- Coordination of S.A.F.E. Team Meetings to support children and families when they’re most vulnerable. These meetings are a collaboration with the family, school staff, agency partners, a family advocate and community organizations to help families overcome barriers and access services, learn more here.
--
You
- Managing multiple chronic health conditions (e.g.. diabetes. heart disease)
ECM
Link Bilingual Community Health Workers for
San Luis Obispo County (Non Clinical)
- Gabriela Huerta Dedicated
- Nancy Martinez Dedicated
- Karla Najera Dedicated
- Bessy Hoffman
- Mayra Velazquez
- Danilda Reyes
- Sonia Greene

Rosario Gabriela Huerta
Bilingual Community Health Worker
Contact: Cell phone (805) 503-9409
Primary Service Area: Lillian Larsen Middle School and Cappy Culver Elementary School.
- Gabriela Huerta Dedicated
- Nancy Martinez Dedicated
- Karla Najera Dedicated
- Bessy Hoffman
- Mayra Velazquez
- Danilda Reyes
- Sonia Greene

Our Vision
We envision a thriving community where children, youth, and families have the power and resources to live healthy, safe, and productive lives.
Our Mission
We foster a safe, healthy, and thriving community by linking children, youth, and families with programs and services to address their unique needs.
Our Values
The Link values strengths-based, empowerment-focused, community-driven collaboration, developed through mutual respect, compassion, and integrity.
Administrative ECM Community Health Workers Administrative Team
Carrie Collins
The Link Family Resource Center Director
Carmen Del Real
Non-Clinical Enhanced Care Management ECM Director
Contact
Please fill out the form below. We look forward to connecting with you!
Administrative office
Location: Del Rio Continuation High School
Address: 4507 Del Rio Ave Bldg. #1, Atascadero, CA 93422
Hours: Open: 9:00AM to 5:00PM M-F
Office Phone: (805) 466-5404
(805) 794-0217
