Case management services assist Medicaid beneficiaries in obtaining needed medical and related services.

These services are comprehensive and include: assessment of an eligible individual; development of a specific care plan; referral to services; and monitoring activities.

Targeted Case Management (TCM) refers to case management for specific Medicaid beneficiary groups or for individuals who reside in state-designated geographic areas. In other words, TCM is any direct assistance to adults and children of the behavioral health system, including problem resolution, advocacy and referral to other appropriate services.

Social services providers at all levels have begun to recognize that a one-size-fits-all case management solution is outdated. Instead, by using targeted case management, case managers are starting to think in terms of solutions that are specific to the needs of the individual or group they are serving.