Service Coordination
What are Case management activities carried out before ECI eligibility is determined.
Service Coordination
What is it?
SC, CM or TCM
SC schedules periodic review with parent by email, text or leaving a message.
Case Management
What is it?
SC, CM or TCM
SC schedules post-IFSP (discipline specific) evaluation(s) with parent/routine caregiver face to face or by phone* to see if new services are needed (e.g. ST, OT, PT).
*Texting is not billable as TCM.
Targeted Case Management.
Can only bill TCM for scheduling one time even if the evaluation is later rescheduled.
What is it?
SC, CM or TCM
SC schedules eligibility re-determination with parent face to face or by phone.
Targeted Case Management
This is considered coordinating the perfomance of evaluations. Can only bill TCM for scheduling one time even if the evaluation is later rescheduled.
What is it?
SC, CM or TCM
SC gives a list of resources to meet a need on the IFSP or in a progress note) for example, daycare centers or pediatricians taking Medicaid), either face to face or phone. Guides parent on how to make a choice (such as what questions to ask). SC offers to help parent make calls, visit the various options, or complete paperwork.
Targeted Case Management.
State the identify need(s), the resources and how they will benefit the child. Handing parents a list does not qualify as TCM.
Fill the blanks:
Activities carried out in collaboration with other case managers, service coordinators, service providers, or entities to help an eligible child and his/her family gain access to _________, __________, ____________ and ____________ services, including access to procedural safeguards, without regard to funding source.
medical, social, educational, and developmental...
Question.
Is there an exception to allowing texting to be a billable event, when you are texting to parent who is deaf?
Yes, texting a parent who is deaf is allowable and billable as an accommodation for the parent given your program has established HIPPA and FERPA compliance and the event meets the other requirements as a billable TCM event. You must also document this is in the child's record.
What is it?
SC, CM or TCM
SC schedules post -IFSP (discipline specific) evaluation(s) with parent/routine caregiver face to face or by phone to see if outcomes/ services needed to be changed (service is already happening).
Can only bill TCM for scheduling one time even if the evaluation is later rescheduled.
What is it?
SC, CM or TCM
SC schedules IFSP meeting following eligibility re-determination with parent face to face or by phone.
Targeted Case Management.
Question:
What does TCM involves?
Answer: (Page 4 - bottom right corner)
1. Discussing various options
2. Discussing how to contact the resource
3. Discussing information the parent may need to provide.
4. Brainstorming questions that may be helpful for the parent to ask.
True or False:
Targeted Case Management is case management activities that directly benefit an ECI eligible child who is enrolled in Medicaid and meet the definition of a Medicaid billable encounter when done in person, virtual, texted and phone.
True
What is it?
SC, CM or TCM
SC schedules periodic review with team, not in presence of parent.
Case Management.
What is it?
SC, CM or TCM
SC attends the post- IFSP (discipline specific) evaluation with the parent/ routine caregiver.
N/A
Conducting, assisting with, or attending eligibility evaluations or discipline-specific evaluations are not considered CM. SC has no specific role in evaluations. However, if new needs are identified as a result of the evaluation, there may be opportunities for TCM.
What is it?
SC, CM or TCM
SC conducts the meeting for annual review of the IFSP.
Targeted Case Management
What is it?
SC, CM or TCM
SC discusses resources offered by ECI, such as respite, etc. with parent face-to-face or by phone.
Targeted Case Management
You have to clearly state the identified need(s), the resources and how they will benefit the child.
True or False: Only TCM events of 8 minutes or more are billable.
True.
What is it?
SC, CM or TCM
SC conducts periodic review.
Targeted Case Management.
Documentation should support the amount of time spent conducting the periodic review.
What is it?
SC, CM or TCM
SC present with service provider to discuss with parent the post-IFSP (discipline specific) evaluation, review results and recommendations for new outcomes and/or changes to existing services.
Case Management.
Service provider discussion with parent is part of the evaluation process and is not TCM billable, even if the SC is present. Any changes in IFSP service type, intensity or frequency go into periodic review.
What is it?
SC, CM or TCM
SC assist family with accessing or maintaining Medicaid coverage.
N/A (none)
Assisting with Medicaid is not considered SC, CM or TCM, but is a valuable service, and falls within the duties of the SC.
True or False:
Service Coordinator can participate from creating a transition plan, participate from transition conference with/ without the school district, participate in the evaluation of the child, and the ARD meeting with the school district and all can be billed as TCM.
True.