Billing

TCM Tip – Allowable Service 4 of 5: Monitoring And Follow-up

Allowable Service - Monitoring and Followup
Allowable Service - Monitoring and Followup

TCM activities reimbursable under the monitoring and follow-up category include the following:

  • Conducting activities and maintaining contact necessary to ensure that the Individual Service Plan (ISP) is effectively implemented and addresses the needs of the eligible individual.
  • Reviewing trends and patterns identified in reports of unusual incidents and Major Unusual Incidents (MUIs), and incorporating prevention plans into ISP amendments as needed.
  • Coordinate with service providers to ensure services outlined in the ISP are delivered as planned.
  • Performing activities and maintaining contact to ensure that guardians and eligible individuals receive timely and appropriate communication and notifications related to unusual incidents and MUIs.

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

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