Are you ready for ICD-10?

Learn the steps to ICD-10 readiness

Visit DMAP's ICD-10 page for more information

See also:

Babies First!

CaCoon

Tools for providers

 

Targeted Case Management Services program

Receive Targeted Case Management Services program updates by e-mail

Oregon Administrative Rules

Chapter 410 Division 138 - Currently on file with Oregon Secretary of State

Recent rule revisions

Administrative rulebooks

10/31/2012 - 07/01/2011 - 01/01/2011 - 07/01/2010 - 02/03/2010 - 01/01/2010 - 11/16/2009

12/28/2008 - 10/01/2008 - 07/01/2008 -02/01/2007 - 07/01/2006 - 10/01/2004

Supplemental information

Program description and contacts list

Code of Federal Regulations (CFR) - Specific TCM CFRs are 42 CFR 431.50-51, 42 CFR 440.169, 42 CFR 240 and 42 CFR 441.18.  Please note that the Centers for Medicare and Medicaid Services (CMS) has not updated these regulations with the partially rescinded regulations authorized by the American Recovery and Reinvestment Act in February 2009.  The partial rescission of case management interim final rule was published in the Federal Register on June 30, 2009.

TCM Billing Codes and Rates - This table does not include TCM programs administered by Children Adults and Families (CAF) or Seniors and People with Disabilities (SPD) divisions.

Babies First! and CaCoon Cost Report Template - To be used by Oregon public health departments to help determine new rates for these programs. For more information, see our provider announcement.

Local match payment information

Leverage account reconciliation planned for February 2012 - DMAP mailed this letter to affected TCM, School-Based Health Services and Behavioral Rehabilitation Services providers.

Medicaid/SCHIP Local Match Leveraging Form- To receive timely payment for claims, the unit of government provider must submit a prepayment at the local match rate, so that DHS can match the prepayment to the correct claims. This form is also available in Word.

How to read the paper remittance advice - To find out what you owe for local match prepayment, review the "Leverage Claims Payable - Not Paid" section of the paper RA.

Local match rates - The prepayment amount is a percentage of the total amount paid for claims submitted. The percentage is determined by the local match rate. Use the rates listed here, based on the claim's payment date.

Who to call for help

Provider Services 800-336-6016 or e-mail us
Address and telephone contacts