Medicaid targeted case management handbook

    • [DOCX File]Draft Format

      https://info.5y1.org/medicaid-targeted-case-management-handbook_1_069776.html

      10.4.7 To comply with payor of last resort requirements, a service coordinator must be enrolled in Medicaid Targeted Case Management (TCM) in order to serve Medicaid children and seek reimbursement for services provided under Medicaid.

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    • [DOC File]Section I All Provider Manuals - Arkansas

      https://info.5y1.org/medicaid-targeted-case-management-handbook_1_59a3a5.html

      G. If a PCP’s case management fees were paid to a group in which the PCP is no longer affiliated, it is the responsibility of that group to reimburse Medicaid the fees they were not entitled to receive. H. No case management fees will be back paid to a PCP who has failed to follow the process described in Paragraph D of this Section.

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    • [DOC File]LIST OF BILLABLE AND NON-BILLABLE ACTIVITIES

      https://info.5y1.org/medicaid-targeted-case-management-handbook_1_f3457d.html

      E. Examples of Non-Billable Activities: Travel time. Paid time off (vacation, sick leave, etc.). Activities provided by anyone other than a person who meets the qualifications to be a case/targeted case manager, even if they are working under the supervision of a case manager. Unsuccessful attempts to contact the member or collaterals.

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    • [DOC File]MaineCare Member Handbook

      https://info.5y1.org/medicaid-targeted-case-management-handbook_1_418a9d.html

      The MaineCare Member Handbook explains the MaineCare Program. ... MaineCare, Maine’s Medicaid program, is jointly funded by the federal government’s Centers for Medicare and Medicaid Services (CMS) and the state. ... Targeted Case Management Services (Policy Section 13) Telehealth (Chapter 1, Policy Section 4) ...

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    • 59G-4

      (2) All Medicaid-enrolled mental health targeted case management providers must be in compliance with the Florida Medicaid Mental Health Targeted Case Management Coverage and Limitations Handbook, July 2006, updated June 2007, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, Non-Institutional 081, which is ...

      florida targeted case management handbook


    • [DOC File]MaineCare Member Handbook

      https://info.5y1.org/medicaid-targeted-case-management-handbook_1_418a9d.html

      The MaineCare Member Handbook explains the MaineCare Program. ... MaineCare, Maine’s Medicaid program, is jointly funded by the federal government’s Centers for Medicare and Medicaid Services (CMS) and the state. ... Targeted Case Management Services (Policy Section 13) Telehealth (Chapter 1, Policy Section 4) ...

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    • [DOC File]Targeted Case Management Section II

      https://info.5y1.org/medicaid-targeted-case-management-handbook_1_e63f8d.html

      Medicaid covered targeted case management is a referral for service that assists beneficiaries in accessing all medical, social, educational and other services appropriate to the beneficiary’s needs. Targeted case management services are covered when they are: A. Medically necessary

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    • www.flrules.org

      (2) All Medicaid-enrolled mental health targeted case management providers must be in compliance with the provisions of the Florida Medicaid Mental Health Targeted Case Management Coverage Policy and Limitations Handbook, _____, July 2006, updated June 2007, incorporated by reference., and the Florida Medicaid Provider Reimbursement Handbook ...

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    • [DOC File]reg.abcsignup.com

      https://info.5y1.org/medicaid-targeted-case-management-handbook_1_24e5e3.html

      3. I located the ECI Case Management rules and found that all of the following contacts made by the Service Coordinator are a part of case management and must be documented in the child’s record but are not separately billable to Medicaid as Targeted Case Management except for one. The type of contact that is billable is: a.

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    • [DOC File]Early Steps Operations Guide

      https://info.5y1.org/medicaid-targeted-case-management-handbook_1_2a368b.html

      The Medicaid Targeted Case Management checklist may be used to ensure the application includes all required documentation. It is the LES/provider’s responsibility to send the attestation checklist along with their Medicaid Application to Medicaid Provider Enrollment.

      florida medicaid tcm handbook


    • [DOC File]LIST OF BILLABLE AND NON-BILLABLE ACTIVITIES

      https://info.5y1.org/medicaid-targeted-case-management-handbook_1_f3457d.html

      E. Examples of Non-Billable Activities: Travel time. Paid time off (vacation, sick leave, etc.). Activities provided by anyone other than a person who meets the qualifications to be a case/targeted case manager, even if they are working under the supervision of a case manager. Unsuccessful attempts to contact the member or collaterals.

      medicaid case management requirements


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