ND Targeted Case Management
Wraparound Certified staff (including those who are provisionally certified per ND Policy 607-05-10 Wraparound Certification and Recertification) have the ability to become enrolled providers of Medicaid Targeted Case Management (TCM) per the ND Medicaid policy.
Enrolled providers can bill Medicaid TCM for certain activities. TCM services are defined as activities furnished to assist individuals, eligible under the Medicaid State Plan, in gaining access to needed medical, social, educational and other services necessary for appropriate care and treatment.
Wraparound certified (and provisionally Wraparound certified) staff from the following agencies may be eligible:
- Human Service Zones
- Tribal Social Services
- Division of Juvenile Services
- Qualified Residential Treatment Centers
A detailed list of billable activities, client eligibility, provider qualifications, documentation requirements, and FAQs are provided within the linked ND Medicaid policy document.
An informational tutorial on Medicaid Targeted Case Management is available online HERE. It is advised to use either Chrome or Firefox. This self-guided training covers:
- Definition of Targeted Case Management
- Which child welfare staff are eligible
- Which clients are eligible
- What services are eligible
- How to document services provided
North Dakota Targeted Case Management Contact
If, after reviewing the policy document and completing the tutorial you have additional questions, please email ND CFS Administrator, Diana Weber at email@example.com.