Case Management for Children and Pregnant Women (CPW) is a benefit of Texas Medicaid that provides health-related case management to children 20 years of age or younger who have a health condition or health risk, and pregnant women of any age with a high-risk condition. CPW case managers connect their clients with necessary health-related resources, including medical, social, or educational services.
Medicaid providers eligible to enroll as CPW case managers include:
- Registered nurses (RNs)
- Licensed social workers (LSWs)
- Federally Qualified Health Centers (FQHCs)
Eligible providers in the El Paso, Lubbock, Medicaid Rural Service Area West, Nueces, and Jefferson Medicaid managed care service areas are highly encouraged to enroll as CPW case managers.
To learn more about becoming a CPW case manager, refer to the Case Management for Children and Pregnant Women (CPW) Services Quick Reference Guide (QRG) on the TMHP website.
More provider criteria and benefit information can be found in the current version of the Texas Medicaid Provider Procedures Manual, Behavioral Health and Case Management Handbook, Section 3 “Case Management for Children and Pregnant Women”.
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