targeted case management
Also written as: TCM — Targeted Case Management
A Medicaid-funded service that helps individuals with serious mental illness gain access to needed medical, social, educational, and other support services through assessment, planning, referral, and monitoring.
Full Definition
Targeted case management (TCM) is a Medicaid optional benefit under 42 CFR Part 440 that states may offer to defined 'target populations'—including adults with serious and persistent mental illness—to coordinate their access to services. Unlike intensive case management, TCM does not include direct clinical intervention; the case manager's role is primarily coordinative and navigational. Editors frequently encounter TCM in Medicaid billing documents, state plan amendments, and programme audits. The term must not be confused with 'intensive case management' (ICM), which involves direct clinical contact, or with 'service coordination,' which may or may not be a Medicaid billable activity. Capitalise only when referring to the specific Medicaid service category.
Usage
Usage note: Capitalise 'Targeted Case Management' only when referring to the Medicaid benefit category. Lowercase in generic descriptive use. Define TCM at first use; avoid assuming familiarity across all editorial audiences.
In Context
- "The state's Medicaid plan includes targeted case management as a billable service for adults diagnosed with schizophrenia or bipolar I disorder." — Medicaid state plan document
- "Editors should confirm that 'targeted case management' (a Medicaid billing category) is not conflated with 'intensive case management' (a higher-intensity clinical service) in the same document." — Programme evaluation report