Tailored Care Management Provider Manual Updates

Includes information on new policies, tools and guidance, as well as several clarifications

NC Medicaid has released Tailored Care Management (TCM) Provider Manual updates. Notable changes include:

  • New policy on reengaging members after opting out or never engaging with TCM
  • Clarification on the launch of provider-based TCM for Transitions to Community Living (TCL) participants  
  • New policy on the use of clinically-appropriate assistive technologies for Qualifying Contacts  
  • Extension of temporary TCM payment rate increase  
  • Removal of reference to acuity-based contact requirements and payments  
  • Clarification on timeframe to complete the Care Management Comprehensive Assessment
  • Clarification on required components of TCM and medication monitoring  
  • Clarification on roles and responsibilities for crisis planning and response  
  • Clarification on the Care Management Data System  
  • Addition of the TCM Monitoring Tool  
  • New section on documentation guidance  

The June 2024 Provider Manual update and summary of updates are available on the Information for Tailored Care Management Providers webpage under the Provider Resources heading. 



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