Targeted Population: Children and adolescents that go through an independent assessment for income up to 300% Federal Poverty Guidelines (FPG), or members that qualify for Medicaid in traditional income limits that are seeking respite services, will need to have a person-centered service plan. A person-centered service plan, of which can be referred to as a coordinated care plan, is created in a Child and Family Team. Child and Family Teams are facilitated by Targeted Care Coordinators. Members that do not go through the independent assessment process do not need a Targeted Care Coordinator, though they are welcome to have one if they want Targeted Care Coordination.

Program Description: Targeted Care Coordination (TCC) is the process that assists youth and their family to locate, coordinate, facilitate, provide linkage, advocate for, and monitor the mental and physical health, social, educational, and other services as identified through a child and family teaming process that includes assessment and reassessment of needs and strengths. Targeted Care Coordination occurs through face to face or telephonic contact and is not intended to be duplicative of any other service. Targeted Care Coordination services vary in intensity, frequency, and duration in order to support the member’s ability to access, coordinate, and utilize services and social resources that support the member to reach the goals on their coordinated care plan. Targeted Care Coordination can be delivered as a community-based service or in the outpatient clinic setting. Additionally, Targeted Care Coordination can be provided to members transitioning out of an inpatient or residential treatment. Targeted Care Coordination can be provided up to 180 days prior to the member’s discharge from the inpatient or residential facility. All treatment, care, and support services must be provided in a context that is child-centered, family-focused, strengths-based, culturally competent, and responsive to each child’s psychosocial, developmental and treatment needs. Targeted Care Coordination must be consistent with the Principles of Care and the Practice Model of the Idaho Youth Empowerment Services (YES) system of care.   (Optum Idaho 2022 Level of Care Guidelines.)

Staff Qualifications: A minimum of a bachelor’s degree and they have completed the Optum Idaho TCC Endorsement or a provider who holds at least a bachelor’s degree and has become a Certified Case Manager (CCM) through the Commission for Case Manager Certification (ccmcertification.org) and has completed the required Optum Idaho Targeted Care Coordination training.