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But what is Targeted Case Management (TCM)?

7/6/2016

2 Comments

 
“Targeted” case management services are those aimed specifically at special groups of individuals, such as those with Intellectual/developmental disabilities or chronic mental illness.

Case management services are comprehensive and must include the following (42 CFR 440.169(d)):
  • assessment of an eligible individual
  • development of a specific care plan
  • referral to services; and
  • monitoring activities 

​According to the Centers for Medicare and Medicaid Services (CMS), case management services must be
 “conflict free” meaning there is a separation of duties from coercion. 
​
  • Separation of case management from direct services provision
  • Separation of eligibility determination from direct service provision

"Targeted Case Management ​assists the person and support network to identify, develop, select, obtain, coordinate, utilize and monitor paid services and natural supports to enhance the person’s independence, integration, productivity and community inclusion consistent with the person’s needs and life style preferences as outlined in the person-centered support plan."

​We ensure that the individuals we serve have access to needed medical, social, educational and other community services available to them according to their wishes as outlined in the Person=Centered Support Plan. 

Individuals who receive KanCare and who are qualified for Title 19 are eligible for Targeted Case Management.  If you are unsure about your Kancare/Medicaid, call your local CDDO to ask if you qualify for Targeted Case Management services. To access a list of Case Management Service Providers in Johnson County, Click Here!

Your Medical Care Coordinator is NOT your Targeted Case Manager.  Targeted Case Management is a service available and protected by Kansas State Article 63.  Your Medical Care Coordinator (sometimes inaccurately referred to as case manager) monitors services available (or funded) to you through your Medicaid/Kancare provider.  View a handout from Kansas Department for Aging and Disability Services to help understand the difference between targeted case management and care coordination.  

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2 Comments
ADAcare link
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lancashire Clinic link
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