The Morphing Of ‘Case Management’
"Targeted case management" (TCM) has been an essential element in the delivery of mental health services for consumers with serious mental illnesses (SMI) since Medicaid made it a separate reimbursable service in the 1980s. The Centers for Medicare and Medicaid Services' (CMS) definition for case management includes "services that assist eligible individuals to gain access to needed medical, social, educational, and other services.” And, it has been widely used in community-based settings (see Technical Assistance Tool: Optional State Plan Case Management). According to recent estimates, Medicaid spent a total of $2.7 billion for case management services in fiscal . . .