Tailored Care Management Training Updates November 2025
NC Medicaid has made important updates to the training requirements outlined in the Tailored Care Management (TCM) Provider Manual. These changes are part of NC Medicaid’s ongoing efforts to streamline training expectations and support provider efficiency while maintaining high standards of care.
Key Updates
Removal of Trainings from the TCM Provider Manual
Several trainings have been removed from the previously published list in the TCM Provider Manual. These changes will take effect prior to the release of the next version of the manual.
Revisions to Bundle 1 and Bundle 2
The training requirements in bundle 1 and bundle 2 have been significantly reduced. This adjustment is intended to make core trainings more efficient while ensuring core competencies are maintained.
Refresher and Elective Curriculum
NC Medicaid worked with North Carolina Area Health Education Centers (AHEC) to identify 34 trainings and/or sessions that will comprise the refresher and elective curriculum. These offerings are designed to support continued professional development and reinforce key skills. Effective Nov. 26, 2025, care managers, care manager extenders and care manager supervisors will have to complete 6 hours of refresher training annually.
Care managers, care manager extenders and supervisors have the full year to complete the annual refreshers. Tailored Plans, AMH+ and CMAs are allowed flexibility around the timing of the refresher courses if they correlate with the date of deployment or date of hire.
These updates will be reflected in the next version of the TCM Provider Manual. Please proceed with implementing the updates immediately.
Please direct any comments or questions to Medicaid.TailoredCareMgmt@dhhs.nc.gov
Updated Required Courses
| Bundle 1 Courses | Hours |
|---|---|
| Team-Based Care in TCM | 1.25 |
| The Intersection of Chronic Disease and Comorbid Behavioral Health Management: An Application of the SBIRT Model in Primary Care (Contains overview of Social Determinants of Health) | 2.5 |
| Medication Management: Reconciliation, Monitoring, and Adherence Recommendations for TCM | 0.15 |
| Home and Community Based (HCBS) and 1915(i) | 0.5 |
| Bundle 1 Total | 4.25 |
| Bundle 2 Courses | Hours |
|---|---|
| Enhancing Tailored Care Management for Justice-involved Populations | 1.25 |
| TCM Role with Members with I/DD | 1.75 |
| Breathe Easy NC: Becoming Tobacco-Free Training | 1 |
| Incorporating Trauma-Informed Care in the TCM Model | 1 |
| Individual Plan for Employment (IPE) and Supportive Employment (SE) | 0.75 |
| Motivational Interviewing Toward Health Behavioral Change | 1 |
| Person Centered Thinking and Planning Review in TCM | 0.75 |
| Rights and Services Used to Support TCM Members | 2.75 |
| Transitional Care Services | 1 |
| NC System of Care (SOC) | 1.25 |
| Ethics and Safety Considerations in Tailored Care Management | 1.5 |
| Mutual Aid for Addiction Recovery and Co-occurring Disorders for Adults, Adolescents, and Families | 0.75 |
| TCM Member Benefit Acquisition | 1.5 |
| Perinatal Substance Exposure Education (PSEED) in TCM | 1.75 |
| Total Updated Hours: | 22.5 |
Updated Refresher and Electives
- Enhancing TCM for Justice Involved Populations
- TCM Role with Members with I/DD
- Essential Skills for Disaster Mental Health and Crisis Response
- Person-Centered Thinking and Planning in TCM
- Child and Family Treatment Teams in Tailored Care Management
- Individual Plan for Employment (IPE) and Supported Employment (SE)
- Providing Whole-Person Care for Individuals with TBI and Their Families
- Telehealth and TCM
- Incorporating Trauma-Informed Care in the TCM Model
- Supporting Older Adults with Intellectual and Developmental Disabilities in TCM
- TCM: Cognitive Behavioral Therapy Overview for TCM
- Medication Management: Reconciliation, Monitoring, and Adherence Recommendations for TCM
- Assessments and Levels of Care in Tailored Care Management
- Integrated Care Best Practices for Advanced Medical Home/Care Management Agencies
- TCM Training for Working with Individuals with a History of Sexual Offenses or Sexualized Behaviors
- Medication-Assisted Treatment (MAT)/Medication for Opioid Use Disorder (MOUD) in Tailored Care Management
- TCM: Medical Terminology for Tailored Care Management
- Serious Mental Illness: A Life Course Perspective
- NC Tracks and NCHIE: Tips and Tricks for TCM Outreach
- Working with the I/DD/TBI Population
- Serving Co-occurring Diagnoses: Mental Health and Substance Use
- Chronic Health Series: Diabetes Care
- Chronic Health Series: Heart Failure Management
- Chronic Health Series: Care Managing Member's Kidney Health
- Chronic Health Series: Dental Care
- Chronic Health Series: Asthma and Sleep Apnea
- Chronic Health Series: TCM Fatal 5 for IDD
- Chronic Health Series: Preventative Screenings
- Chronic Health Series: Respiratory Health- COPD and Pulmonary Hypertension
- Chronic Health Series: Transitions of Care
- Supported Employment Series:1915(i) HCBS Rule and Monitoring
- Supported Employment Series: 1915(i) IPS Deep Dive
- Supported Employment Series: 1915(i) IDD Deep Dive
- Supported Employment Series: Inclusion Works
Contact
Please direct any comments or questions to Medicaid.TailoredCareMgmt@dhhs.nc.gov
This page was last modified on 11/21/2025