Long Beach, CA
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File #: 19-0084    Version: 1 Name: DHHS - Targeted Case Management
Type: Contract Status: CCIS
File created: 12/28/2018 In control: City Council
On agenda: 2/5/2019 Final action: 2/5/2019
Title: Recommendation to authorize City Manager, or designee, to execute an agreement, and any subsequent amendments, with the State of California Department of Health Care Services, for the continued provision of Targeted Case Management Services to eligible Medi-Cal and non-Medi-Cal beneficiaries, effective July 1, 2019 and continuing in full force and effect until terminated by either party, for an estimated annual revenue of $120,000. (Citywide)
Sponsors: Health and Human Services
Attachments: 1. 020519-C-15sr.pdf
Related files: 35256_000
TITLE
Recommendation to authorize City Manager, or designee, to execute an agreement, and any subsequent amendments, with the State of California Department of Health Care Services, for the continued provision of Targeted Case Management Services to eligible Medi-Cal and non-Medi-Cal beneficiaries, effective July 1, 2019 and continuing in full force and effect until terminated by either party, for an estimated annual revenue of $120,000. (Citywide)

DISCUSSION
Targeted Case Management (TCM) is a federal program of the Centers for Medicare and Medicaid Services (CMS), which is a part of the U.S. Department of Health and Human Services. This program is administered by the State of California Department of Health Care Services (State), which acts as a pass-through agency. Since 1997, the City of Long Beach Health and Human Services Department (Health Department), has provided TCM services to eligible Medi-Cal and non-Medi-Cal beneficiaries under a TCM Provider Participation Agreement (PPA) with the State.

The TCM program assists defined targeted population groups in accessing needed medical, social, educational, and other services. TCM service components include: comprehensive assessment and periodic reassessment of client status; development of an Individual Services Plan (ISP) for each beneficiary; referral and linkage activities; and, monitoring and follow up activities. There are five defined targeted population groups for the TCM program: (1) children under the age of 21; (2) medically-fragile individuals; (3) individuals at risk of institutionalization; (4) individuals at jeopardy of negative health or psycho-social outcomes; and, (5) individuals with a communicable disease. Since July 2016, over 400 individuals have received TCM services through the Health Department, with mostly children and medically-fragile individuals being the primary beneficiaries.

TCM services are provided to targeted population groups via several City programs, including t...

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