Targeted Case Management

Acronym: TCM

TCM refers to case management services provided only to specific Medicaid beneficiary groups, defined either by disease or medical condition (e.g., HIV/AIDS, tuberculosis, chronic physical or mental illness) or by geographic regions (e.g., county or city). These services are provided at state option; most state Medicaid programs cover TCM services.38 Relevant Federal Legislation or Regulation: Case Management and Targeted Care Management Social Security Act §1915(g). Describes Medicaid case management and TCM services, including assessment of an eligible individual to determine service needs, development of a specific care plan, referral and related activities to help an individual obtain needed services, and monitoring and follow-up activities. 42 C.F.R. § 440.169 and 42 C.F.R. § 441.18. CMS regulations regarding Medicaid case management and targeted case management services.