COMMUNITY ALTERNATIVES PROGRAM, DEVELOPMENTAL …

[Pages:219]COMMUNITY ALTERNATIVES PROGRAM, DEVELOPMENTAL DISABILITIES and TARGETED CASE MANAGEMENT TRAINING

Jane Harris, LCSW Clinical Director, PSD

Ranota T. Hall, MD Medical Director, PSD

Flow into System and Targeted Case Management DMH

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TARGETED CASE MANAGEMENT

Forms and Instructions

North Carolina Medicaid

Jane Harris, Director of Clinical

Operations, PSD

AGENDA

zFORMS zHOW TO COMPLETE FORMS zHOW TO ACCESS THE FORMS zOTHER REQUIRED DOCUMENTS zAUTHORIZATION TIMELINES zEPSDT

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FORMS

All Service Request will be submitted on the same form.

The form is CAP/Targeted Case Management Request Form or the CTCM Form.

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NC MEDICAID CTCM FORM

See forms and instructions

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