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Category - Targeted Case Management

Our thoughts on all things electronic case management.

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Photo by Julian Myles on Unsplash

Targeted Case Management (TCM) – A Viable Option

02/24/2020 By Nancy Leidelmeijer

In California, TCM, a Medicaid benefit program, is administered by the California Department of Health Care Services (DHCS). The TCM program started in 1995 after the Medi-Cal Administrative Claiming Program split in two: TCM and Medi-Cal Administrative Activities (MAA).

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Top 3 Reasons Targeted Case Management Audits Fail

04/20/2023 By Nancy Leidelmeijer

Targeted Case Management (TCM) audits help ensure that Medicaid services for individuals with serious mental illness or developmental disabilities are medically necessary and meet state and federal requirements. However, these audits can be complicated and require specialized knowledge to navigate. The top three reasons why TCM audits fail are inadequate documentation and record-keeping, inadequate training and supervision of staff, and lack of compliance with regulations and guidelines. This article provides insight into these issues and how to avoid them.

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Photo by Ryoji Iwata on Unsplash

What Is TCM And How It Can Help You

08/14/2019 By Wilson

Targeted Case Management (TCM) is consists of services that assist eligible beneficiaries in securing medical, social, educational and other health services necessary to appropriate care and treatment. Case management is not directly connected with providing the care and services, but instead is a separate and reimbursable type of service under Medicaid that for specific beneficiaries, identifies the appropriate services, assists in locating those services, identifies providers, and monitors the provision of care.