Case Management for Children and Pregnant Women is a Medicaid program that provides health-related case management services to children who are birth through 20 years of age with a health condition/health risk and to high-risk pregnant women. Case managers help clients gain access to needed medical, social, educational, and other services.

Who can become a Case Management Provider?

Case Management for Children and Pregnant Women providers are social workers or registered nurses working as individuals or employed by schools, health departments, counseling agencies, health clinics, and other types of agencies.

Case managers must have a minimum of two years’ experience assessing the psychosocial needs of children and/or pregnant women and making community referrals to address their service needs.

Case Management for Children and Pregnant Women services include assessing needs of eligible clients, formulating a service plan, making referrals, problem solving, advocacy, and follow-up regarding client and family needs.

Providers are reimbursed for the assessment/service plan development and follow-up contacts.

Contact your TMHP Provider Enrollment representative today for questions on how to enroll in Case Management for Children and Pregnant Women.