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CMS Case Management Regulation Rule Guidance

04/18/2008 | Requests *

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.

Author

Available Files

Fact Sheet PDF (76K, 3 pages)
Technical Assistance Tool PDF (195K, 18 pages)
Sample State Plan Amendment Outline PDF (38K, 4 pages)
Federal Register from Dec. 4, 2007 PDF (123K, 17 pages)
CMS Case Management Regulation Website Off-site link

Keywords

Medicaid; Eligibility; case management; targeted case management; TCM; DRA; section 6052; Optional State Plan; CMS 2237 IFC;

Topic

Deficit Reduction Act

Type/Tool

Announcement/Press Release, Policy alerts, briefs, letters & papers, Training materials

Source

CMS

State

All States/Territories

Date Created

04/30/2008

Contact

Brenda Vitale

vitaleb@bc.edu

Short URL

www.hcbs.org/moreInfo.php/doc/2238

Permission to use any element of this document should be obtained by the above named contact person. Always name the originator as the source of this material.

* Reflects requests since January 1, 2007

HCBS / Clearinghouse for the Community Living Exchange Collaborative / (http://www.hcbs.org)