By Athena Mandros Targeted case management (TCM) has been a staple of services to consumers with complex conditions. The Centers for Medicare & 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). In 2015, states spent more than $2.6 billion on traditional case management services for the population receiving long-term services and supports (see Medicaid Expenditures For Long-Term Services & Supports (LTSS) In FY 2015). But fee-for-service targeted case management as…
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