What is Targeted Case Management?
Targeted Case Management is a collaborative assessment, planning, facilitation, and advocacy process for options and services to meet a person’s recovery needs. The case manager coordinates services and helps oversee the Person-Centered Plan. Staff will link individuals to needed services and monitor the results. Targeted Case Management is intended for people who require several mental health services and have difficulty accessing or sustaining services independently.
Targeted Case Management is a practice in which the person served is a participant, to the greatest extent, in assessing needs, obtaining services, treatments, and supports, and preventing and managing a crisis.
Targeted Case Management (TCM) became a covered Medi-Cal benefit effective January 1, 1995. The TCM Program provides specialized case management services to Medi-Cal-eligible individuals in a defined target population to gain access to needed medical, social, educational, and other services. The program goal is to ensure that the changing needs of Medi-Cal-eligible persons are addressed on an ongoing basis and appropriate choices are provided among the widest array of options for meeting those needs.
The program aims to provide services to the following target groups:
- Children under the age of 21
- Individuals in Jeopardy of Negative
- Medically Fragile Individuals’ Health or Psycho-Social Outcomes
- Individuals at Risk of Institutionalization
- Individuals with a Communicable Disease
Industry research done by Zippia Using a database of 30 million profiles, Zippia estimates demographics and statistics for targeted case managers in the United States. Some of the data they have presented include the following:
- There are over 3,738 targeted case managers currently employed in the United States.
- 79.6% of all targeted case managers are women, while 20.4% are men.
- The average age of an employed targeted case manager is 43 years old.
- New Mexico is the best state for targeted case managers to live in.
- Targeted case managers are 77% more likely to work at private companies in comparison to government companies.
The TCM program reimburses participating counties for the federal share of costs (typically 50%) for case management services provided to Medi-Cal beneficiaries in specific target populations.
Each year the government spends billions to combat substance abuse so people with substance abuse or mental illness can receive the care they need without worrying about the cost. Because of this, Medicaid created targeted case management in 2007, so these patients could receive the proper care they deserve. However, few know these services and think it’s a fancy way of saying case management.
Targeted case management aims to remove barriers to treatment by addressing three areas: Eliminating barriers will help meet clients’ social, educational, and employment needs. A health professional can use case management software to find client resources.
With the help of case management services, clients can improve their situation. Unfortunately, suffering from any disorder keeps a person from taking control of situations. When lacking the ability to control a problem, finding the right resources can be tricky.
Targeted Case Management for Adults
Adults with certain health conditions may need help finding resources for themselves. Their disorder stops them from connecting with services within their community. Those with severe mental illness often have difficulties coping with daily tasks.
For example, someone with depression may find it hard to buy groceries from the store or ask others for help. But they can find a support system through targeted case management services. The case manager can find someone willing to do the grocery shopping until they improve.
Targeted Case Management for Children
Parents may need help accessing their child’s resources to thrive in society. As an occupational therapist, you may have to assist parents in finding these resources.
Children between the ages of 0-17 may need targeted case management services based on the criteria below:
- Individuals who suffer from behavioral or emotional difficulties both at school and at home
- Those suffering from mental disorders such as childhood schizophrenia or pervasive developmental disorder
- Children who behave in destructive ways, such as self-harm, eating disorders, or drug abuse
One of the goals of a case manager is to empower parents to be their children’s most prominent advocates. Another goal is to learn how to deal with different challenges.
The caseworker will develop a plan to help tackle situations, manage stress, and reach goals. Some of the resources families can gain are counseling, evaluations, and mentorship.
What’s the Difference Between Case Management and Targeted Case Management?
Case management and targeted case management are similar. There are no differences in the services for clients. They are the same, but there are still differences between the two services.
Case management involves helping clients gain access to basic needs. These needs may include medical, educational, and social services.
A case manager can find the tools to help patients meet their needs. Anyone can get these services if their income is below the poverty level.
Targeted case management services are specifically for people with disabilities or chronic illnesses. For example, those with sensory processing disorders can find resources to improve their home environment.
Health professionals know how necessary it is to act as case managers for their patients. It’s part of their job to gather patient resources to help them thrive.
Although, it’s easier to do this when you need cloud-based management software to help you gather these resources. But there is hope for healthcare workers with our powerful targeted case management software.
How Can Our Case Management Software Help You?
Health workers know how valuable it is to maintain an organized workflow. One of the best ways to accomplish this is with cloud-based tools. If you provide case management, you will appreciate a comprehensive system that reduces the need for multiple platforms. PlanStreet offers caseworkers all the tools they need in one platform. Our software handles processes and documentation while you focus more on patient needs.
With PlanStreet, health workers get the following benefits:
- Easy client intake with efficient document recording
- Scheduling appointments
- Comprehensive case management
- Enrolling clients in programs and monitoring progress
- Intuitive and insightful reporting
- Easy Referrals
TCM is a more focused version of case management that helps individuals with more specific needs than the average population. Using PlanStreet allows you to design case plans and assist TCM clients efficiently by finding the right resources, as these clients often need help. Schedule an Introductory call with our representative today to learn more.