Maine DHHS - Questionnaire - Targeted Case Management (TCM)


Status: Incomplete
   

Targeted Case Management (TCM)


1. CANS Score:



2. How many scores are two or higher in life domain functioning?



3. How many scores are two or higher in child behavioral/emotional needs?



4. Does member require referral activities?

(Please select one.)


5. Is member 16 years old and have a diagnosis of ID/DD?

(Please select one.)


6. Does member requiring Monitoring and Follow-Up Activities?

(Please select one.)



Disclaimers (please check to confirm acceptance):