Time Savings

TCM Unallowable: Direct Services

Direct services are a coverage exclusion under Targeted Case Management (TCM). Examples of direct services include:

  • Assisting with activities of daily living (e.g., bathing, dressing, grooming)
  • Providing transportation to appointments or activities
  • Assisting an individual with cleaning or packing or shopping
  • Establishing household budgets

These types of activities are not allowable/reimbursable under TCM and should be coded as unallowable.

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