TCM Program Description

The Targeted Case Management (TCM) Program is an optional Medi-Cal Program funded by federal and local funds. The TCM Program is authorized under the California's Welfare and Institutions Code, Sections 14132.44, 14132.47, 14132.48 and 14132.49. Regulations governing the TCM Program are contained in Title 22 of the California Code of Regulations (22CCR), Division 3, Chapter 3. In addition, the Department periodically issues Policy and Procedure Letters regarding the Program.

The TCM Program provides specialized case management services to Medi-Cal eligible individuals in a defined target population to gain access to needed medical, social, educational, and other services. TCM services include:

• Needs assessment
• Development of an individualized Service Plan
• Linkage and Consultation
• Assistance with accessing services
• Crisis assistance planning, and
• Periodic review

TCM Services are provided by Local Governmental Agencies (LGAs). An LGA is defined by law as a county or chartered city. The LGA must have a signed Medi-Cal Provider Agreement with the Department, and an approved cost report. The cost report is the basis for determining the cost of providing a TCM service ("encounter") in a particular LGA in a particular program type. See the "Medi-Cal Administrative Activities (MAA) and Targeted Case Management (TCM) Provider Manual" for details on completion of the cost report.

TCM program types are adult probation, outpatient clinics, linkages, public guardian, public health, community.