Targeted Case Management
Case management services assist Medicaid beneficiaries in obtaining needed medical and related services.
These services are comprehensive and include: assessment of an eligible individual; development of a specific care plan; referral to services; and monitoring activities.
Targeted Case Management (TCM) refers to case management for specific Medicaid beneficiary groups or for individuals who reside in state-designated geographic areas. In other words, TCM is any direct assistance to adults and children of the behavioral health system, including problem resolution, advocacy and referral to other appropriate services.
Social services providers at all levels have begun to recognize that a one-size-fits-all case management solution is outdated. Instead, by using targeted case management, case managers are starting to think in terms of solutions that are specific to the needs of the individual or group they are serving.
There are many benefits associated with TCM:
- Provides case management processes and solutions that are appropriate for the patient
- Allows for integration of the needs of individuals
- Enables modifications based on outcomes analysis
- Creates program flexibility
- Gives case managers greater creative control over their process
The world of case management is changing, and the shift towards an outcomes-based approach means that personalizing case management services is becoming more important than ever. By personalizing the inputs to the needs of the individual or population who is being served, the outputs can be greatly improved, resulting in better services across the board.
Ask us about our success in employing TCM!