Case Management Services.
Waiver case management services are defined as services furnished to assist a beneficiary in gaining access to needed medical, social, educational and other services.
Case Management.
Medicaid shall cover case management which consists of assessing, care planning, referral or linkage and monitoring and follow-up. Case management services are necessary to identify needed medical, social, environmental, financial, and emotional interventions. These services are provided to maintain community integration while safeguarding the beneficiary’s health, safety, and well-being. A case management activity must be performed at least monthly with the beneficiary.
Care Advisor.
Medicaid shall cover a service that provides advisement to the employer of record in gaining access to needed medical, social, educational and other services. The care advisor focuses on empowering a CAP/DA beneficiary to define and direct his or her own personal assistance needs and services. The care advisor guides and supports the beneficiary, rather than directs and manages the beneficiary, throughout the service planning and delivery process. These functions are done under the guidance and direction of the beneficiary or responsible party.