After Enrollment, San Diego Ryan White Providers Must Seek Medi-Cal Payment; ECM Targets Eligible Clients With Complex Needs
San Diego County's FY2025 Ryan White Part A narrative says subrecipients must screen applicants for Medi-Cal and other coverage; after a client enrolls in Medi-Cal or Medicare, providers must seek payment from that payer and reclassify prior Ryan White reimbursement as program income. The same narrative says Medi-Cal-eligible residents with substance use disorder, serious mental illness, or housing instability are prioritized for ECM.
This is a payer-of-last-resort compliance workflow, not double billing or unrestricted revenue layering.
Key takeaways
- Subrecipients screen applicants for Medi-Cal and other coverage while Ryan White care may continue during the application period
- After enrollment, providers seek Medi-Cal or Medicare payment and reclassify prior Ryan White reimbursement as program income
- San Diego prioritizes Medi-Cal-eligible residents with SUD, serious mental illness, or housing instability for ECM
Primary source
County of San Diego Health and Human Services AgencySource packet
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FQHC Talent. (2024, October 3). After Enrollment, San Diego Ryan White Providers Must Seek Medi-Cal Payment; ECM Targets Eligible Clients With Complex Needs. Primary source: County of San Diego Health and Human Services Agency. Retrieved July 28, 2026, from https://www.fqhctalent.com/intel/strategy-ecm-ryan-white-integration
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