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LEA Program Targeted Case Management Billing

Effective July 1, 2015, Targeted Case Management (TCM) claiming with dates of service from July 1, 2015 forward was suspended until a rate methodology is approved by the Centers for Medicare and Medicaid Services (CMS). In addition, the TCM Labor Survey was no longer valid effective July 1, 2015. The LEA Medi-Cal Billing Option Program is preparing to submit a new rate methodology to CMS that will include TCM services. TCM claiming under the new rate methodology may be retroactive to July 1, 2015.