Targeted Case Management

Mental Health Targeted Case Management

Medicaid Mental Health Targeted Case Management services provide case management to adults with a serious mental illness and children with a serious emotional disturbance to assist them in gaining access to needed medical, social, educational, and other services.

This service is one of the minimum covered services for all Managed Medical Assistance plans serving Medicaid enrollees.

Eligibility

All Medicaid recipients who meet the following criteria may receive mental health targeted case management services:

  • Not receiving case management services under a home and community-based service waiver.
  • Not in a hospital, nursing home, intermediate care facility for the developmentally disabled or institution for mental diseases.
  • 17 years of age or younger and require advocacy for and coordination of services to maintain or improve level of functioning, or
  • 18 years of age or older and require advocacy for and coordination of services to maintain or improve level of functioning, or
  • 18 years of age or older and resides in the community and, due to mental illness, exhibits behavioral or symptoms that could result in long-term hospitalization if frequent interventions for an extended period of time were not provided.