Billing

TCM Tip – Allowable Service 1 of 5: Assessment

By April 3, 2025April 24th, 2025No Comments

TCM activities reimbursable under the assessment category include the following:

  • Activities involving coordination with therapists or appropriately qualified individuals to determine an eligible person’s needs for medical, educational, social, and other services, including those related to technology and employment.
  • Activities that determine an eligible individual’s eligibility for Home and Community-Based Services (HCBS) waiver programs or Medicaid.
  • Activities related to evaluating and recommending an eligible individual’s ongoing need for HCBS waiver programs and estimating associated costs.

Refer to the 2023 State Work Group Ohio County Boards of Developmental Disabilities Case Notes Guide more information and examples.

If you have questions about anything TCM-related, please contact us at TCMTeam@medicaidbillingsolutions.com.