Targeted case management services are services to clients within targeted groups. The target population that may receive Mental Health Targeted Case Management (MHTCM) as part of the Texas Medicaid Program are clients, regardless of age, with a single diagnosis of chronic mental illness or a combination of chronic mental illnesses as defined in the latest edition of the American Psychiatric Association’s (APA), Diagnostic and Statistical Manual of Mental Health Disorders (DSM) and who have been determined via a uniform assessment process to be in need of MHTCM services.

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MHTCM services are furnished to assist clients in gaining access to needed medical, social/behavioral, educational, and other services and supports.

MHTCM consists of Intensive case management and routine case management.

Skills training and development is training provided to an eligible client, the LAR, or primary caregiver on behalf of an eligible client. The training addresses:

• Serious mental illness and symptoms related problems that interfere with the client’s functioning and living, working, and learning environment

• Provides opportunities for the client to acquire and improve skills needed to function as appropriately and independently as possible in the community

Skills training and supportive interventions focus on the improvement of communication skills, appropriate interpersonal behaviors, and other skills necessary for independent living or, when age-appropriate, functioning effectively with family, peers, and teachers. Skills training and development may include:​

• Pro-Social skills

• Assertiveness skills

• Anger management skills

• Stress reduction techniques

• Communication skills

• Money management

• Life skills

• Parenting skills

• Social skills (e.g., communicating one’s needs to strangers and making appropriate choices for the use of leisure times)

Skills training and development services consist of increasing the LAR’s or primary caregiver’s understanding of an ability to respond to the client’s needs identified in the uniform assessment or documented in the treatment plan. 

Crisis intervention services are intensive community-based one to one service provided to clients who require services to control acute symptoms that place the client at immediate risk of hospitalization.

Medication training and support services include education and guidance regarding medications and their potential side effects. These serve as a

beginning orientation for the client in comprehending the nature of his/her emotional disturbances or mental illnesses and the significance of medications in assuring increased tenure in the community and symptom reduction.

Medication Training Support includes:

• Assisting the client to manage symptomology and maximize functioning

• Understanding the concepts of recovery and resilience within the context of the serious mental illness

• Developing an understanding of the relationship between mental illness and the medications prescribed to treat the illness

• The interaction of medication with other medications, diet, and mood-altering substances

• Recognizing the overdose precautions of the client’s medication

• The identification and management of potential side effects

• Learning self-administration of the client’s medication

• Necessity of taking medications prescribed and following the physician’s or other qualified health care professional’s orders

Medication training and support is available to eligible clients. The LAR or primary caregiver may obtain medication training and support in representation of the eligible client.

Psychosocial Rehabilitative Services are social, behavioral, and cognitive intervention provided by members of a client’s therapeutic team that build on strengths and focus on restoring the client’s ability to develop and maintain social relationships, occupational or educational achievement, and other independent living skills that are affected by or the result of a serious mental illness in clients who are 17 years of age and older.

Psychosocial rehabilitative services include independent living services, coordination services, and employment, housing, and medication-related services. Psychosocial rehabilitative services may also address the impact of co-occurring disorders upon the client’s ability to reduce symptomology and increase daily functioning. If psychosocial rehabilitation is in the treatment plan, the treatment plan cannot simultaneously include skills training and development or targeted case management services. Psychosocial rehabilitative services may not be provided to a client who is currently admitted to a crisis stabilization unit.