Mental Health Targeted Case Management (MH-TCM)
PrimeWest Health provides health care coverage and other services to help members get and stay healthy. One of these services is Mental Health Targeted Case Management (MH-TCM). MH-TCM is a service in which PrimeWest Health teams up with county case managers to provide services to members with complicated needs. These needs may be medical, behavioral, or social. If you have questions, call the Provider Contact Center at 1-866-431-0802 (toll free).
MHTCM providers may find the following resources helpful:
- Use the Mental Health Targeted Case Management (MH-TCM) Service Authorization Request Form to submit a request for coverage for MH-TC
- Use the Mental Health Targeted Case Management (MG-TCM) Notice of Action form when MH-TCM services are ending or being terminated
- Consult the Notice of Action Instructions if you have questions about completing the Notice of Action form or about the denial, termination, or reduction (DTR) process for MH-TCM service
- Consult the Notice of Action Instructions if you have questions about completing the Notice of Action form or about the denial, termination, or reduction (DTR) process for MH-TCM service
- Read about MH-TCM Referral and Eligibility Determination Process to learn about the referral process and eligibility requirements for MH-TC
- See chapter 16 of the Provider Manual for information on billing for MH-TCM
- Individual Community Support Plan (ICSP) Adult Mental Health Targeted Case Management (MH-TCM)
- Individual Family Community Support Plan (IFCSP) Children's Mental Health Targeted Case Management (MH-TCM)