Mental Health Case Management (H0023) Service Definition and Eligibility Requirements

Service Definition

Mental health case management is defined as a service to assist individuals, eligible under the State Plan, who reside in a community setting, in gaining access to needed medical, social, educational, and other services.

Case management does not include the provision of direct clinical or treatment services. If an individual has co-occurring mental health and substance use disorders, the case manager may include activities to address both the mental health and substance use disorders, as long as the treatment for the substance abuse condition is intended to positively impact the mental health condition. The impact of the substance abuse condition on the mental health condition must be documented in the service specific provider assessment, the ISP, and the progress notes.

Eligibility Criteria