Enhanced Care Management (ECM) in California is transforming how healthcare is delivered to high-need Medi-Cal populations by addressing both medical and social factors through coordinated, person-centered care. Programs like Inland Empire ECM Riverside and support from the Inland Empire Health Plan are ensuring vulnerable individuals -especially pregnant and postpartum mothers - receive vital services like housing, mental health support, and prenatal and postnatal care. With equity-focused efforts such as Inland Empire Birth Equity, ECM is improving access, reducing disparities, and building stronger, healthier communities across California.