Targeted Case Management

Targeted Case Management is a Medicaid program that is designed to provide individuals with an advocate to come alongside them and help them navigate the system so that they can find and contract the supports they need.

A case manager is a person with at a minimum a bachelor’s degree in a human services related field and with a minimum of one year of experience in the delivery of services to persons with a disability. A case manager can also be a person that has an Iowa license to practice as a registered nurse and has at least three years of experience in the delivery of services to persons with a disability.

In order for a person to be eligible for Medicaid Case Management Services they have to have a qualifying diagnosis and have Title XIX (Nineteen). Once a person is approved for case management services a case manager will be assigned to them. The case manager will complete a social history, assessment and Individual Comprehensive/Service Plan for the individual. These documents are designed to collect the necessary background needed to assist the case manager in determining what supports are needed and what goals and objectives should be in the Individual Comprehensive/Service Plan. It is important to remember that the client creates their own plan with the case manager.

Once a plan is created, supports are acquired to help pursue the goals and actions steps designed in the plan. The case manager then monitors the ongoing progress of the supports and coordinates any necessary changes. This includes the development and tracking of several reports such as Quarterly Progress Reports, Incident Reports and conducting Annual Reviews. Once the individual receiving the service is at a point in their life where they have met most or all of their goals and no longer require the coordination and monitoring of a case manager, the service will end.