Children's Targeted Case Management
Practice Guidelines

TARGETED CASE MANAGEMENT LEVELS AND SERVICES

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Targeted Case Management Levels and Services
Caseload Size

TARGETED CASE MANAGEMENT LEVELS AND SERVICES 

Case managers understand that:
        ·        families want to be able to manage their own services;
      ·        families are capable of acquiring these skills or using existing skills;
      ·        building in natural supports in the system of care increases independence for families; and
      ·        families want to be able to re-access the system if needed in the future, once services have been terminated.

Families should have a level of targeted case management that best suits their needs. In addition to direct family input, the determination of the appropriate level of care should also include feedback from additional members of the child and family team and outcomes from the Level of Care Assessment tools.   

Transition between levels of case management is to be expected and family desires and choices should be taken into consideration as much as possible. 

Children and their families will receive services at the following levels of intensity: 

·        Level I addresses minimal to moderate needs and is specifically for those families needing information or help accessing resources or guidance in doing their own case management and advocacy.  Children assigned this level are eligible to receive the least intensive level of care.  Such services will focus on, but not be limited to: information, referral, support, advocacy, development of an individualized service plan, and the coordination of services.  All children receiving Level I targeted case management services must have an individualized support plan (ISP). 

·        Level II addresses moderate to extensive needs and is for children with more complicated resource needs and/or family circumstances which require a higher level of intensity, frequency and duration of services than Level I case management. All children receiving Level II targeted case management services must have an individualized support plan (ISP) developed by a Child and Family Team.

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CASELOAD SIZE

 Unless otherwise mutually agreed upon between the Provider and the Department, the average minimum caseload ratio for targeted case management shall be: 

1:25 for Level I
1:15 for Level II

It is expected that caseload sizes are consistent with quality services.  Factors that should be considered in determining caseload sizes and assignments include geographic issues, financial resources available, intensity of caseloads, and diversity of service needs of a given caseload (serving only children from one of the levels or having a mixed caseload).  The provider shall cooperate with the Department in monitoring caseload sizes.

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