Healthcare case management insights and resources
I remember the first time I was in the dark room developing my first roll of film that I just shot. The room was dark, lit brightly enough by the red, safe light. The air was thick with the smell of film chemicals wafting around.
Nowhere is the case for electronic case management to be better made than in health and human services. Even in a thriving economy, disadvantaged populations exist and are the most in need. As the economy shrinks in times of crises and unemployment increases, the need for health and human case management services increases. So does the need to document client information and circumstances to ensure clients’ needs are met.
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).
As a social worker, you strive to have a positive effect on the community around you. You serve as motivation to better the lifestyles for each of your clients. Because of the various demands put on social workers, the client relationship can become secondary due to the vast amount of service coordination, communication among providers, documentation and other aspects of this ever-changing field.
In this final part, Part III, to our TCM audits blog, we will address the TCM program audits as conducted by the TCM program at the Department of Health Care Services (DHCS). As written in our previous blogs on this topic, the Targeted Case Management (TCM) program cost reports are audited in California every year. For the program audit (or non-financial), DHCS strives to be on a 3-year. That means that your program may be audited once every 3 years.
We have been busy rolling out a lot of new features lately improving UnaCasePro and our latest calendar feature won’t disappoint. The calendar supports appointments, events (global), and reminders. I will break down each calendar event type and how it could be used.
ue to tuberculosis being caused by an infectious organism capable of spreading from person to person through the air, public health measures were set into motion. Three strategies have been created for tuberculosis prevention and control in the United States.
As promised, here’s our follow up blog on TCM audits and appeals. Previously in Part I of this series, we noted that every year the Targeted Case Management (TCM) programs and their cost reports are audited in California. The appeals process begins with the informal hearing. If the county does not prevail at this level, it can appeal at the formal level.
So you just found out your agency is going to be audited. Now what, your wondering? First, take a deep breath and relax. If you’re on UnaCasePro, you got this! If not, well...I feel your pain.
Every year the Targeted Case Management (TCM) programs and their cost reports are audited in California. State Department of Health Services (DHCS) auditors communicate with local governmental agencies (LGA) to obtain financial and other documents for their review. Many LGAs have been taken aback by extensive documentation requests and surprised by the audit findings.
