Transcript CHILD WELFARE TARGETED CASE MANAGEMENT

CHILD WELFARE
TARGETED CASE
MANAGEMENT
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Child Welfare
Targeted Case
Management services
are activities that
coordinate social
services and other
needed services for
eligible children and
their families.
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Child Welfare Targeted Case
Management (CW-TCM) activities
are MA reimbursable for certified
counties, certified tribes and private
vendors under contract to counties
or tribes if all eligibility and
documentation requirements are
met.
The case manager helps the
family access needed services:
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Including:
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mental health services,
habilitative services,
educational services,
health services,
vocational services,
– recreational services,
– and related services
including, but not limited
to, the areas of volunteer
services, advocacy,
transportation, and legal
services.
Case Management includes:
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Assisting the child and the child’s family to
access needed services
Coordinating needed services with other
agencies
Insuring continuity of care
Monitoring and evaluating delivery,
appropriateness and effectiveness of
services
The Record Review
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Why have we been conducting a record
review?
How have counties been chosen for the
review?
Will all counties’ records be reviewed?
How is the review being conducted?
What are we finding in the review?
CLIENT ELIGIBILITY
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WHO IS ELIGIBILE FOR CW-TCM SERVICES?
– MA or MinnesotaCare recipients who are under age 21
and who meet one of the following conditions:
• at risk of placement or in placement as defined in
MN Statutes, section 260C.212, subd.1
• at risk of maltreatment or experiencing
maltreatment as defined in MN Statutes, section
626.556, subd. 10e or
• in need of protection or services as defined in MN
Statutes, section 260C.007, subd. 6
Documenting Eligibility
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Which eligibility criteria does the child
meet?
Briefly describe the reason the child meets
this criteria
Is the child enrolled in the Medical
Assistance Program or MinnesotaCare?
CW-TCM Finding
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Johnny is in need of protection or services
as defined in MN Statutes
§ 260C.007, subd. 1, due to……or
because ……….
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Child welfare targeted case management
services are needed and will be provided.
SSIS Documentation
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The following SSIS screen partially fulfills
the documentation requirements for the
eligibility assessment/screening and the
case finding….
SSIS CWTCM Eligibility
Dual Case Management
Rationale and Roles
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Questions to be answered:
Why are services of two case managers
necessary?
What services will each case manager
provide?
Which case manager will be considered
primary?
This can be part of the case plan
Case Plan
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A case plan needs to be developed before
claims may be submitted.
A separate written CW-TCM plan is not
necessary as long as CW-TCM activities
are identified in the case plan to be used.
The case plan needs to address the
individual child’s needs.
The case plan is a living document
Case Plan Formats in SSIS
Child Protection Plan
 Family Service Plan
 Out-of-Home Placement Plan
Any of these may be used and identified as
also being the CW-TCM Service Plan
Case plans should be signed by all
concerned
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Collateral/Relationship Lists
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Include everyone who is a possible
contact on the child’s behalf.
Can be a part of the case plan or a
separate list
Eliminates need to mention relationship
each time a contact is made.
DOCUMENTATION OF
CONTACTS
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Payment for CW-TCM may be claimed for a
face-to face contact with:
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the client,
the client's family,
primary caregiver,
legal representative,
or other relevant person named in the case plan
CONTACTS continued….
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Contact must be identified as
necessary to the development or
implementation of the goals of the
child’s case plan
Contact must be regarding the
status of the client, the individual
service plan, or the goals for the
client.
TELEPHONE CONTACTS
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Reimbursement for CW-TCM may be claimed for
a telephone contact if:
– the child is placed outside of the county or the
reservation in foster care, or placed through the
Interstate Compact
– placement is more than 60 miles beyond the county or
reservation boundaries,
– there is at least one contact per month and not more
than two consecutive months without a face-to-face
contact.
Documentation of Contacts
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client name
date of contact
type of contact (face to face or telephone)
person contacted and relationship to the client
location of the contact
person making the contact
The nature and extent of services provided
SSIS DOCUMNETATION
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To generate a CW-TCM claim staff must
document the contact accurately in SSIS.
The service and activity selected on the
contact screen must have a BRASS code
and related HCPC that is potentially
billable for CW-TCM
The contact note must reflect case
management activity.
Contact Documentation Using
SSIS
REVIEW
REQUIREMENTS FOR CASE MANAGERS
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For each child for whom CW-TCM is claimed
the case manager must:
– determine the child meets the eligibility criteria
– determine the child’s need for service,
– document the eligibility and
CW-TCM finding,
– prepare a written service plan,
– keep a written record of contacts with the client or
others,
– review eligibility criteria and service plan annually
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All of the above must be documented for each
child in the case file.
QUESTIONS
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For questions regarding CW-TCM contact:
Virginia Strand
Child Development Services
651- 297-7186
[email protected]
or
Colleen Olson
PMQI
651-282-6648
[email protected]