Texas targeted case management
What does a targeted case manager do?
Targeted Case Managers facilitate the community-based assessment and planning process by working with individuals, families, service providers, and other agencies and individuals to create an individualized plan based on a comprehensive assessment of needs for each person.
What is the definition of targeted case management?
Targeted Case Management (TCM) and Assertive Community Treatment (ACT) ACT services are targeted to persons with severe mental illness, significant functional impairments, high utilizers of psychiatric inpatient, at high risk or history of criminal justice involvement, often with co-existing substance use challenges,...
What is child welfare targeted case management?
CHILD WELFARE TARGETED CASE MANAGEMENT. Child Welfare Targeted Case Management services are activities that coordinate social services and other needed services for eligible children and their families.
[PDF File]TARGETED CASE MANAGEMENT FOR PERSONS ... - …
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T1017 TF $19.83 15 Min. 9/1/2011: TCM - Routine case management (child and adolescent) 16-C; T1017 TF; HA $24.07; 15 Min. 9/1/2011 TCM - Intense case management (adult
[PDF File]Examples of Targeted Case Management
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Texas Health and Human Services hhs.texas.gov Examples of Targeted Case Management 1. Service Coordinator meets with the parent to discuss the family's priorities for services from the school district in preparation for the child's upcoming ARD, and explains the purpose and structure of the ARD meeting, as well as the family's rights in Part B.
[PDF File]Targeted Case Management Checklist
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1 Texas Health and Human Services hhs.texas.gov Targeted Case Management Checklist Early Childhood Intervention (ECI) Case Management Checklist Service Coordinator (SC): The role of the SC is to serve as a family’s single point of contact to provide …
[PDF File]CHAPTER TITLE EFFECTIVE DATE Mental Health …
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• Case management for people who have SPMI (adult, 18 years of age or older). The above-listed Mental Health Targeted Case Management services, as well as any limitations to these services, aredescribed in the most current TMPPM, including the Behavioral Health, Rehabilitation, and Case Management Services Handbook. Mental
[PDF File]CHAPTER TITLE EFFECTIVE DATE Mental Health …
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15.3, “Mental Health Targeted Case Management and Mental Health Rehabilitative Services Training Requirements.” Chapter 15.3 applies to contracts issued as a result of HHSC RFP numbers 529-06-0293, 529-10-0020, 529-12-0002, 529-13-0042, and 529-15-0001; and to Medicare-Medicaid Plans (MMPs) in the Dual Demonstration.
[PDF File]Billing Guidelines for Targeted Case Management …
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Nov 01, 2011 · Targeted Case Management (TCM) 1. Service Coordination funded by Medicaid as TCM: Service coordination is defined §2.553 of rules governing Service Coordination for Individuals with Mental Retardation (40 TAC Chapter 2, Subchapter L). Service coordination funded by Medicaid as TCM includes: Basic Service Coordination
[PDF File]Targeted Case Management & Mental Health
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Targeted Case Management & Mental Health Rehabilitation Guideline Guideline # 6672 Categories Clinical Care Management CM, TCHP Guidelines This Guideline Applies To: Texas Children's Health Plan Document Owner Andrea Canady GUIDELINE STATEMENT: TCHP will perform authorizations on Targeted Case Management and Mental Health Rehabilitation.
[PDF File]Mental Health Targeted Case Management and Mental Health ...
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Aug 30, 2021 · The Texas Health and Human Services (HHS) Office of Inspector General Audit and Inspections Division (OIG Inspections) conducted an inspection of mental health targeted case management and mental health rehabilitative services in managed care. The inspection objectives were to determine whether local mental
[DOCX File]DRAFT Summary Minutes
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Jul 30, 2020 · Specialized skills training and targeted case management are not currently required to be reimbursed by private insurance or CHIP. If they were covered, this would help to solidify the ECI budget. Currently, the largest referral source for children to ECI are medical providers, but other potential service providers could refer children to ECI ...
Texas Constitution and Statutes - Home
(a) A provider in the provider network of a managed care organization that contracts with the commission to provide behavioral health services under Section 533.00255 may contract with the managed care organization to provide targeted case management and psychiatric rehabilitative services to children, adolescents, and their families.
[DOC File]Texas Health and Human Services
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These individuals are also required to meet the training requirements for the provision of targeted case management (routine and intensive case management) under the Intensive Service Level of Care 4 for children and adolescent mental health services under the Texas …
[DOC File]ARCHOICES Section II
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212.305 Targeted Case Management Services (Non-Waiver Service) 212.310 Provisional Person-Centered Service Plan (PCSP) 212.311 Denied Eligibility Application. 212.312 Comprehensive Person-Centered Service Plan (PCSP) 212.313 ARChoices Applicants …
[DOC File]Learning Stream
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9. I located the Case Management rule in the in Title 40, Texas Administrative . Code, Part 2, Chapter 108, subchapter D, and believe that the following is true or false: Case management services associated with the following are not payable as optional Targeted Case Management services under Medicaid:
[DOCX File]3.14 - Texas Health and Human Services Commission
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Section IV.E. is modified to clarify coordination with LMHAs, to add ADHD as a behavioral health service, and to add Mental Health Rehabilitative Services and Targeted Case Management requirements. Section IV.H. is modified to add “Contractual requirements of Network Providers related …
[DOCX File]SignatureDate
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Pathways Youth and Family Services, Inc. (Pathways), a 501(c)(3) non-profit organization, provides a comprehensive array of services to include residential foster care, adoption, behavioral health therapy, targeted case management and crisis response to children, families and communities across the state of Texas.
[DOC File]MEMORANDUM - Texas Department of Family and Protective ...
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Jan 21, 2011 · For each of the first five years that the rules will be in effect there will be no fiscal impact to state government. The State ceased federal claiming for this targeted case management service effective June 30, 2008 to comply with direction from CMS, therefore there is no fiscal impact to delete this obsolete rule. (b) Public Benefits.
[DOC File]MEMORANDUM - Texas Department of Family and Protective ...
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Jan 21, 2011 · DFPS claimed Medicaid reimbursement for Targeted Case Management (TCM) services from 1994 until 2008. In early 2006, Congress enacted the Deficit Reduction Act of 2005 (DRA), P.L. 109-171, which revised the definition of case management services for purposes of Medicaid claiming (42 U.S.C. § 1396n(g)(2)).
[DOC File]privacyregguide - Texas
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(B) the enrollment, payment, claims adjudication, and case or medical management records systems maintained by or for health plans within the department; or (C) records that contain protected health information used, in whole or in part, by or for the department to make decisions about individuals regarding eligibility, prior authorization ...
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