Targeted Case Management
How do you refer a member to the Targeted Case Manager Program (TCM)?
Focus Care is one of the providers in the State of Colorado that assist in these services. If one of your patients is interested in Focus Care for Targeted Case Management (TCM) please call us 720-361-8829 or email info@focuscares.com.
Targeted case management/transition services are designed to assist Health First Colorado (Colorado’s Medicaid Program) members who are interested in transitioning out of long-term care facilities back into home and community-based settings. This program also provides members access to state plan benefits, home and community-based waiver services (HCBS) in addition to transition enhanced services and supports aimed at promoting independence.
We Also Provide
LST (Life Skills Training) : Helping individuals learn independent living skills, such as: cooking a meal, budgeting, bill payments, or living on their own. We also help people navigate community services and find eligibility benefits.
Peer Mentorship : Support from others in the community in a similar situation.
How Can Focus Care Help?
We support experienced transition coordinators in assessing level of care most appropriate to meet safety and care needs in the least restrictive environment to promote independence and enhance quality of lives for patients.
Support with coordination of care planning and gathering of information from pertinent care team members to bring to the table
Interactive discussion about potential risks and strategies aimed to address those risks
Collaborative decision-making process to identify the best plan for each patient
Support with obtaining input from all involved care team members (physicians, therapy, nursing, behavioral health, family and the individual) to determine patient success in a lower level of care setting (assisted living or an independent home)
How Do You Refer A Member To The Targeted Case Management (TCM)?
We support experienced transition coordinators in assessing level of care most appropriate to meet safety and care needs in the least restrictive environment to promote independence and enhance quality of lives for patients.
- Do any of your residents feel unhappy or stuck and express wanting to live more independently in the community?
- Refer these individuals to your local options counseling agency.
- An options counselor will meet with the resident to review their current situation and refer them to the transition program.
- During the options counseling meeting, residents can express wishes for their future and select preferred
- agency as Focus Care for transition coordination.
- Focus Care staff will help you and the resident explore and facilitate a move to the community (assisted living or independent living).