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FREQUENTLY ASKED QUESTIONS RELATIVE TO MEDICAID
FOR TARGETED CASE MANAGEMENT
1. Can target case management (TCM) services through the school
be billed for students who do not have an Individualized
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How to fill out for targeted case management

How to fill out for targeted case management:
01
Gather necessary information: Start by collecting all relevant personal and demographic details of the individual requiring targeted case management. This may include their name, address, contact information, date of birth, social security number, and insurance details.
02
Determine eligibility: Review the criteria for targeted case management and ensure that the individual meets the requirements. This may involve checking their medical history, disability status, or income level. If they meet the eligibility criteria, proceed to the next step.
03
Assess the individual's needs: Conduct a comprehensive assessment to determine the specific needs and challenges faced by the individual. This may involve conducting interviews, reviewing medical records, and consulting with other healthcare professionals or service providers.
04
Develop a care plan: Based on the assessment results, develop a personalized care plan for the individual. This plan should outline the goals, objectives, and interventions required to address the identified needs. It should be specific, measurable, attainable, relevant, and time-bound (SMART).
05
Coordinate services: As a targeted case manager, it is crucial to facilitate and coordinate the required services for the individual. This may involve referring them to healthcare providers, assisting in accessing housing or social services, advocating for their rights, or arranging transportation for medical appointments.
06
Monitor progress and reassess: Continuously monitor the individual's progress towards their goals and reassess their needs periodically. This will help in identifying any changes or modifications required in the care plan to ensure optimal outcomes.
Who needs targeted case management:
01
Individuals with complex medical conditions: Targeted case management is often essential for individuals with complex medical conditions who require coordination and support in accessing specialized healthcare services.
02
Individuals with disabilities: Those with disabilities, including physical, intellectual, or developmental disabilities, may benefit from targeted case management to navigate the healthcare and social service systems, ensuring they receive appropriate care and support.
03
Individuals with behavioral health or mental health challenges: Targeted case management can play a crucial role in supporting individuals with behavioral health or mental health challenges, connecting them to appropriate treatment options, counseling services, and community support.
04
At-risk populations: Certain populations, such as elderly individuals, low-income families, or individuals with limited English proficiency, may require targeted case management to overcome barriers and access necessary services and resources.
05
Individuals transitioning between care settings: Those transitioning from hospitals, correctional facilities, or foster care to community settings may benefit from targeted case management to ensure a smooth transition, continuity of care, and access to necessary support services.
Overall, targeted case management is essential for individuals who require comprehensive support, advocacy, and coordination to address their specific needs and achieve optimal health and well-being outcomes.
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What is for targeted case management?
Targeted case management refers to a service that assists individuals in gaining access to needed medical, social, educational, and other services.
Who is required to file for targeted case management?
Individuals who meet the eligibility criteria for targeted case management are required to file for it.
How to fill out for targeted case management?
To fill out for targeted case management, individuals need to provide information about their needs and goals, as well as any relevant medical or social history.
What is the purpose of for targeted case management?
The purpose of targeted case management is to help individuals coordinate and access the services they need to improve their quality of life.
What information must be reported on for targeted case management?
Information such as medical history, current needs and goals, and any relevant social or educational information must be reported on for targeted case management.
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