CMS Case Management Regulation Rule Guidance

File Downloads / Links

  • Fact Sheet PDF
  • Sample State Plan Amendment Outline PDF
  • Technical Assistance Tool PDF
  • Federal Register from Dec. 4, 2007 PDF

Article Publication Date: 
4/18/2008
Summary: 
The Deficit Reduction Act (DRA) of 2005 clarified which case management and targeted case management services are covered by Medicaid. The rule addresses concerns about improper billing of non-Medicaid services to the program by some states, while aiming to ensure comprehensive services that meet the needs of beneficiaries. These documents from CMS are meant to assist practitioners in understanding and abiding by these rules.
Topics: 
Medicaid
Populations: 
N/A
Sources: 
CMS
Programs/Initiatives: 
Deficit Reduction Act (DRA)
Keywords: 
Eligibility
targeted case management; TCM; DRA; section 6052; Optional State Plan; CMS 2237 IFC;

Contact

Brenda Vitale
vitaleb@bc.edu

Short URL: http://www.advancingstates.org/node/51572