Or. Admin. Code § 410-147-0610 - Targeted Case Management (TCM)

(1) Targeted Case Management (TCM) services are provided and reimbursed through a separate program requiring enrollment as a TCM provider.

(2) Refer to OAR 410 division 138, Targeted Case Management, for specific requirements.

(3) If an FQHC or RHC is participating in a TCM program, the clinic must notify the Division of Medical Assistance Programs in writing and must include a description of the TCM program. With the exception of maternity case management (MCM) services authorized by OAR 410-147-0200, costs for TCM services cannot be included in a clinic's cost statement and TCM services are prohibited from being billed directly to the Division or a PHP under the FQHC or RHC's enrollment under OAR 410 division 147.

(4) A client may only participate in a single TCM program. The Division does not allow multiple TCM billings. This includes Maternity Case Management (MCM).

Notes

Or. Admin. Code § 410-147-0610

OMAP 71-2003, f. 9-15-03, cert. ef. 10-1-03; OMAP 63-2004, f. 9-10-04, cert. ef. 10-1-04; OMAP 27-2006, f. 6-14-06, cert. ef. 7-1-06; DMAP 34-2008, f. 11-26-08, cert. ef. 12-1-08

Stat. Auth.: ORS 409.050, 413.042 & 414.065

Stats. Implemented: ORS 414.065