What is targeted case management?

The TCM program reimburses participating counties for the federal share of costs (typically 50%) for case management services provided to Medi-Cal beneficiaries in specific target populations.

What is the difference between case management and targeted case management?

Case management consists of services which help beneficiaries gain access to needed medical, social, educational, and other services. “Targeted” case management services are those aimed specifically at special groups of enrollees such as those with developmental disabilities or chronic mental illness.

What is the benefit of targeted case management?

Targeted Case Management (TCM) is a set of services provided to a Target Population that helps our clients gain access to needed medical, clinical, social and educational services to improve the quality of their lives. TCM services are reimbursable through Medicaid.

How much do targeted case managers make?

Targeted Case Managers in America make an average salary of $36,332 per year or $17 per hour. The top 10 percent makes over $44,000 per year, while the bottom 10 percent under $29,000 per year.

What is the CPT code for case management?

99366- 99368
The Current Procedural Terminology (CPT) code range for Case Management Services 99366-99368 is a medical code set maintained by the American Medical Association.

How do you become a targeted case manager in Florida?

Have a Bachelor’s Degree from an accredited university or college with a major in counseling, social work, psychology, criminal justice, nursing, rehabilitation, special education, health education, or a related human services field (a related human services field is one in which major course work includes the study of …

Who can Bill 99367?

Physicians will be able to report 99367 for a medical team conference with an interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more. Physicians are referred to evaluation and management codes for one comparable to 99366.

Who can bill for CCM?

Only one physician or other qualified health care professional who assumes the care management role for a beneficiary can bill for providing CCM services to that patient in a given calendar month. While services may be provided by a clinical staff person, the service must be billed under one of the following: Physician.

What does a targeted case manager do?

Targeted Case Managers facilitate the community-based assessment and planning process by working with individuals, families, service providers, and other agencies and individuals to create an individualized plan based on a comprehensive assessment of needs for each person.

What is the definition of targeted case management?

Targeted Case Management ( TCM ) and Assertive Community Treatment (ACT) ACT services are targeted to persons with severe mental illness, significant functional impairments, high utilizers of psychiatric inpatient, at high risk or history of criminal justice involvement, often with co-existing substance use challenges,…

What is Medicaid targeted case management?

Medicaid Targeted Case Management ( TCM ) is a service that manages multiple resources for Medicaid members.

What are the stages of case management?

The Case Management Process. The Case Management Process consists of nine phases through which case managers provide care to their clients: Screening, Assessing, Stratifying Risk, Planning, Implementing (Care Coordination), Following-Up, Transitioning (Transitional Care),Communicating Post Transition, and Evaluating.