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Targeted Case Management (TCM) Services for Recently Incarcerated Beneficiaries
When individuals are released from an incarcerated setting, the necessary resources to access health care and other critical social determinants of health services to address chronic and complex physical and behavioral health care needs may be lacking. These barriers may lead to poor health outcomes and complicate the ability of an individual to successfully reintegrate back into the community.
This TCM for recently incarcerated beneficiaries benefit program supports recently incarcerated individuals through engagement, care coordination, linkage, advocacy, and health care system navigation to assist with transition back into their communities.
Program Benefits/Core Goals
- Provide efficient planning, advocacy, and coordinated behavioral and physical health care for recently incarcerated beneficiaries
- Increase access to behavioral and physical health care
- Improve patient outcomes
- Reduce health care costs
- Reduce unnecessary inpatient hospital admissions
- Reduce unnecessary emergency room visits
- Reduce recidivism.
Beneficiaries will Receive
- An initial comprehensive assessment of needs
- Development of a personalized care plan
- Referral, linking, coordinating, monitoring, and follow-up activities to assist with gaining access to needed services
- Coordinating with the beneficiary’s primary care provider, other providers, and Medicaid Health Plan (MHP)
TCM Services for Recently Incarcerated Beneficiaries
- Assist with gaining access to needed services such as:
- medical, dental, and behavioral/mental health
- Other related services
- Assessments, planning, linkage, advocacy, and care coordination
- Follow-up activities (e.g. education and supports).
(Note: TCM does not include activities that constitute the direct delivery of underlying medical, dental, educational, social, and/or other services to which an eligible beneficiary has been referred.)