Targeted Case Management Referral Form
WHO QUALIFIES?
Mental health targeted case management is available to Medicaid recipients who:
– Do not receive case management through a home or community-based waiver;
– Are not in hospitals, nursing homes, intermediate care facilities for the developmentally disabled, or mental health institutions;
– Adults: who are 18 or older and require advocacy or service coordination to maintain or improve functioning;
– Adults: 18 or older, living in the community, and at risk of long-term hospitalization due to mental illness without ongoing interventions.
Ask
For
Help!
If you or someone you know is experiencing a crisis related to
Approximately 5% to 6% of the U.S. population is affected by severe mental illness.
1 of 20 adults
27.2 M
About 27.2 million Americans 12 or older (9.7%) reported battling a drug use disorder in 2022.
Mental illness affects homelessness; about 76.2% of the homeless population is mentally ill.
76.2%
Your road to wellness starts here.
100%
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Curabitur sed faucibus metus vitae iaculis neque lores tempor eu augue pulvinar imperdiet mauris enim pulvinar a tortor a vehicula gravida magna accumsan porttitor felis sed blandit vel metus magna. Integer hendrerit ornare eros augue congue.
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Curabitur sed faucibus metus vitae iaculis neque lores tempor eu augue pulvinar imperdiet mauris enim pulvinar a tortor a vehicula gravida magna accumsan porttitor felis sed blandit vel metus magna. Integer hendrerit ornare eros augue congue.
Curabitur sed faucibus metus vitae iaculis neque lores tempor eu augue pulvinar imperdiet mauris enim pulvinar a tortor a vehicula gravida magna accumsan porttitor felis sed blandit vel metus magna. Integer hendrerit ornare eros augue congue.
Curabitur sed faucibus metus vitae iaculis neque lores tempor eu augue pulvinar imperdiet mauris enim pulvinar a tortor a vehicula gravida magna accumsan porttitor felis sed blandit vel metus magna. Integer hendrerit ornare eros augue congue.
Curabitur sed faucibus metus vitae iaculis neque lores tempor eu augue pulvinar imperdiet mauris enim pulvinar a tortor a vehicula gravida magna accumsan porttitor felis sed blandit vel metus magna. Integer hendrerit ornare eros augue congue.
Curabitur sed faucibus metus vitae iaculis neque lores tempor eu augue pulvinar imperdiet mauris enim pulvinar a tortor a vehicula gravida magna accumsan porttitor felis sed blandit vel metus magna. Integer hendrerit ornare eros augue congue.
Curabitur sed faucibus metus vitae iaculis neque lores tempor eu augue pulvinar imperdiet mauris enim pulvinar a tortor a vehicula gravida magna accumsan porttitor felis sed blandit vel metus magna. Integer hendrerit ornare eros augue congue.
