Targeted case management services are services to clients within targeted groups. The target population that may receive Mental Health Targeted Case Management (MHTCM) as part of the Texas Medicaid Program are clients, regardless of age, with a single diagnosis of chronic mental illness or a combination of chronic mental illnesses as defined in the latest edition of the American Psychiatric Association’s (APA), Diagnostic and Statistical Manual of Mental Health Disorders (DSM) and who have been determined via a uniform assessment process to be in need of MHTCM services. MHTCM services are furnished to assist clients in gaining access to needed medical, social/behavioral, educational, and other services and supports.
MHTCM consists of Intensive case management and routine case management
Intensive case management services are predominantly community-based case management activities
provided to the client or to the LAR on behalf of the client (who may or may not be present), to assist a
client and care giver or LAR in obtaining and coordinating access to necessary care and services
appropriate to the client’s needs.
Routine case management services are primarily office-based case management activities that assist a
client, caregiver, or LAR in obtaining and coordinating access to necessary care and services appropriate
to the client’s needs.
