Get the free Early Intervention Targeted Case Management Reimbursement Fact Sheet - infantva

This fact sheet provides guidelines and requirements for Early Intervention (EI) Case Managers, referred to as Service Coordinators, regarding Targeted Case Management (TCM) and reimbursement procedures.

How to fill out early intervention targeted case

How to fill out Early Intervention Targeted Case Management Reimbursement Fact Sheet

1. Gather necessary documentation for the child, including diagnosis and service notes.
2. Fill out the header section with the child's name, date of birth, and Medicaid number.
3. Provide parent or guardian information, including contact details.
4. List the specific early intervention services provided and corresponding dates.
5. Include the provider's information and billing details.
6. Calculate the total reimbursement amount and provide any necessary codes.
7. Review the completed fact sheet for accuracy before submission.
8. Submit the Early Intervention Targeted Case Management Reimbursement Fact Sheet to the appropriate agency.

Who needs Early Intervention Targeted Case Management Reimbursement Fact Sheet?

1. Children under the age of three with developmental delays or disabilities.
2. Parents or guardians seeking assistance for their children in early intervention programs.
3. Service providers who deliver early intervention services and need reimbursement.
4. Government agencies managing early intervention services and support.

For pdfFiller’s FAQs

What is Early Intervention Targeted Case Management Reimbursement Fact Sheet?

The Early Intervention Targeted Case Management Reimbursement Fact Sheet is a document that provides guidelines and information regarding the reimbursement process for targeted case management services offered to individuals in early intervention programs.

Who is required to file Early Intervention Targeted Case Management Reimbursement Fact Sheet?

Providers of early intervention services who wish to receive reimbursement for case management services are required to file the Early Intervention Targeted Case Management Reimbursement Fact Sheet.

How to fill out Early Intervention Targeted Case Management Reimbursement Fact Sheet?

To fill out the Early Intervention Targeted Case Management Reimbursement Fact Sheet, providers must gather relevant patient information, document the services provided, and follow the specified formatting and submission guidelines outlined in the fact sheet instructions.

What is the purpose of Early Intervention Targeted Case Management Reimbursement Fact Sheet?

The purpose of the Early Intervention Targeted Case Management Reimbursement Fact Sheet is to streamline the reimbursement process for case management services, ensuring that providers have clear and concise instructions for submitting claims.

What information must be reported on Early Intervention Targeted Case Management Reimbursement Fact Sheet?

The Early Intervention Targeted Case Management Reimbursement Fact Sheet requires providers to report information such as client demographics, service dates, types of services rendered, and any associated costs.