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    Enterprise Case Management (ECM)

    ECM Benefits

    ECM is a unified, digital platform used by the Pennsylvania Department of Human Services (DHS) to improve case management, communication, and coordination across multiple programs. It is designed to create a comprehensive, streamlined experience for individuals, staff, and business partners.

    DHS expects users will experience the following benefits as a direct result of ECM:

    • Improved coordination of care and service planning: ECM will allow for greater visibility into a participant's services when they are shared across programs.
    • A more active role in planning care: ECM will allow individuals to see information about their services and support in near-real time and will be able to ask questions and receive information.
    • Appeals management: ECM will allow for the electronic submission, management, and monitoring of appeals.
    • Strengthened communication: ECM will allow for streamlined communications, as individuals/participants, DHS, counties, and business partners will have access to all case information in one tool.

    Scope

    The implementation of the ECM platform impacts four key DHS subsystems, each of which will transition to a unified structure for improved functionality and consistency across various DHS programs.

    The ECM platform is the structural foundation for four major DHS subsystems:

    Home and Community-Based Services Subsystem (HCBSS): The HCBSS will replace what is currently known as the Home & Community Services Information System (HCSIS). It will serve as the enrollment and case management system for the PA DHS program offices, counties, and providers supporting the Home and Community-Based Services programs, including Medicaid waivers.

    Hearings & Appeals: The Hearings & Appeals subsystem will replace the collection of legacy systems PA DHS uses to manage appeals under the jurisdiction of the Bureau of Hearings and Appeals.

    Office of Long-Term Living (OLTL) Enrollment Services: The OLTL Enrollment Services subsystem will be used by the Enrollment Services Entity, DHS, and the PA Department of Aging to manage the process of assisting individuals in exploring and applying for long-term services and supports.

    Child Welfare Case Management (CW CM): The CW CM subsystem will create a single, statewide child welfare case management system for all Pennsylvania counties.