TARGETED CASE MANAGEMENT (TCM)

 

 

Managed Services Division

Targeted Case Management (TCM)

 

Robert.Haswell@ct.gov

 

Carleen Zambetti, LPC, LADC, Clinical Manager, (860) 418-6979

Carleen.Zambetti@ct.gov

 

Frederic Morton, MPH, Program Manager, (860) 418-6609

Fred.Morton@ct.gov

 

Random Moment Time Study Contact: Kayla Cooley (860) 418-6877

Kayla.M.Cooley@ct.gov

 

Billing Contact: Lauren Staiger, (860) 418-6617

Lauren.Staiger@ct.gov

 

TCM Billing Questions: Faaiza Manzoor, MPH, CHES, (860) 418-6779

Faaiza.Manzoor@ct.gov

 

 

Targeted Case Management (TCM) is a set of Medicaid-reimbursable 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.

In Connecticut, the TCM target population is defined as “individuals age 18 and older with serious and chronic mental illness inclusive of individuals with substance use disorders and co-occurring mental illness.”

 

TCM services include the following:

• Comprehensive assessment at admission and periodic assessment of needs to assist individuals in gaining access to needed medical, social, educational and other services, including coordinating a plan of services, reviewing services and activities to ensure that the plan continues to meet the wants and needs of the individual.
• Referral and related activities to help the individual obtain needed services such as linking the individual with providers and other agencies to obtain services which addresses the individual’s needs and helps them achieve the goals documented in their recovery plan.
• Advocate for an individual to gain access to obtaining something they desire and eliminating barriers.
• Monitoring activities, contacts and progress to insure the care plan is adequately implemented and meets the individual’s needs.
• Planning with an individual on any specific aspect of their goals and needs, or by participating in a treatment planning conference with an individual, the individual’s other providers and any natural supports.

TCM services are provided by over 50 DMHAS state operated and DMHAS affiliate agencies in the state of Connecticut. Qualified Providers must have training, experience and expertise working with their target population. The Centers for Medicare and Medicaid Services (CMS) requires staff persons in these programs to be randomly sampled on activities staff perform to determine the percentage of staff time spent on the delivery of TCM services through the Random Moment Time Study.

 

Time Study Quarter		Calendar Entry/Edit Deadline
Q1: July 1- Sept 30		June 10
Q2: Oct 1 - Dec 31		Sept 10
Q3: Jan 1 - March 31		Dec 10
Q4: April 1 - June 30		March 10

 

DMHAS has identified the following levels of care (LOC) for which TCM are expected:

 

Resources:

• Service Intensity Report User Guide

• TCM Missing Data Report EDW User Guide

• TCM LMS Training

• Targeted Case Management Training (TCM)

• Random Moment Time Study (RMTS) Training - Presentation (pdf)

• Random Moment Time Study (RMTS) Training  - Video (wmv)

• RMTS - Quick Reference Guide

• CMS Approved TCM State Plan Amendment 

• Approved ICD-10 Diagnoses for TCM Billing (refer to Table 17)

• TCM Manual

• Tip Sheet 1 - TCM Overview

• Tip Sheet 2 - Core Activities

• Tip Sheet 3 - Planning and Documenting Services

• Tip Sheet 4 - G.I.R.P. Documentation

• Tip Sheet 5 - Entering Client Medicaid IDs into DDaP

• Tip Sheet 6 - Guide for Determining TCM Services

 

 

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