CE/CME
Medicaid Case Management Services for Children and Pregnant Women in Texas
Welcome to the training on Medicaid Case Management Services for Children and Pregnant Women in Texas provided by the Texas Health and Human Services Commission (HHSC) and the Texas Department of State Health Services (DSHS).
Credit Hours: 1.00 CE
EnrollTo enroll in this course, please log in or create a new account if you are not already registered.
Goal
The goal of this module is to equip eligible health professionals and enrolled case managers to provide Medicaid-approved case management services to eligible children and pregnant individuals in Texas. Case managers help clients access medical, social, educational and other services, including state-mandated nonmedical health-related services to improve health outcomes for pregnant women and their children.
Note: The Case Management for Children and Pregnant Women program requires additional training before eligible health professionals are certified to provide Medicaid case management services. Eligible health professionals include registered nurses, advanced practice nurses, social workers, community health workers and doulas who meet state criteria for licensure, certification and/or experience. This training is a required prerequisite for new Medicaid case managers in Texas.
Target Audience
Current and prospective Case Management for Children and Pregnant Women providers and other interested health professionals.
Specific Learning Objectives
After completing the activities of this module, you will be able to:
- Identify the range of case management services approved by Medicaid for eligible children and pregnant individuals in Texas.
- Evaluate the requirements of state law (House Bill 1575) for providing nonmedical health-related services to pregnant individuals to improve health outcomes for them and their children.
- Select social services provided by state and local governments and community assistance programs that support children and pregnant individuals eligible for Medicaid case management services.
Please note this module expires on 4/26/2027.
This module was released on 4/26/2024.
Featured in the Course
- American Academy of Pediatrics. (2023). Trauma-Informed Care.
- American Academy of Pediatrics and Pediatric Approach to Trauma, Treatment and Resilience (PATTeR). (2021). AAP Infographic: Moving beyond ACE Scores.
- Barthle, C., Kendall, J. R., & Ramirez, E. (2022). Applying Trauma-Informed Practices in Case Management and Supervision. Washington, DC: Office of Family Assistance, Administration for Children and Families, U.S. Department of Health and Human Services.
- Case Management Society of America. (2023). What Is a Case Manager?
- Commission for Case Manager Certification. (2023). Definition and Philosophy of Case Management.
- Forkey, H., Szilagyi, M., Kelly, E. T., Duffee, J., Council on Foster Care, Adoption, and Kinship Care, Council on Community Pediatrics, Council on Child Abuse and Neglect, & Committee on Psychosocial Aspects of Child and Family Health. (2021). Trauma-Informed Care. Pediatrics; 148 (2): e2021052580. 10.1542/peds.2021-052580.
- Giardino, A. P., & De Jesus, O. (2024). Case Management.
- House Bill 1575.
- Knox, M., Esteban, E. E., Hernandez, E. A., Fleming, M. D., Safaeinilli, N., & Brewster, A. L. (2022). Defining case management success: a qualitative study of case manager perspectives from a large-scale health and social needs support program. BMJ Open Quality 2022 Jun;11(2):e001807.
- National Child Traumatic Stress Network. (n.d.).
- Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884.
- Texas Health and Human Services. (2023). Case Management Providers for Children and Pregnant Women.
- Texas Health and Human Services. (2022). Case Management for Children and Pregnant Women. You can become a case manager.
- Texas Health and Human Services. (2023). Non-Medical Case Management: Service Standard.
- Trauma-Informed Care Implementation Resource Center. (n.d.). 10 Key Ingredients for Trauma-Informed Care.
Nursing Continuing Professional Development
The Texas Department of State Health Services, Continuing Education Service is accredited as a provider of Nursing Continuing Professional Development by the American Nurses Credentialing Center’s Commission on Accreditation.
Texas Department of State Health Services, Continuing Education Service has awarded 1.00 contact hours of Nursing Continuing Professional Development.
Social Workers
The Texas Department of State Health Services, Continuing Education Service, the continuing education provider, ensures that the education provided is directly related to the practice of social work; and that the individuals presenting the information have the necessary experience and knowledge in the topics presented. The Texas Department of State Health Services, Continuing Education Service has awarded 1.00 hours of credit.
Certificate of Attendance
The Texas Department of State Health Services, Continuing Education Service has designated 1.00 hour(s) for attendance.
Certified Community Health Worker
The Texas Department of State Health Services, Promotor(a)/Community Health Worker Training and Certification Program has certified this course for 1.00 contact hour(s) of continuing education for Certified Community Health Workers and Community Health Worker Instructors.
General Disclosure
One of the requirements of continuing education is disclosure of the following information to the learner:
- Notice of requirements for successful completion of continuing education activity. To receive continuing education credit the learner must successfully complete the following activities:
- Create a Texas Health Steps account.
- Complete on-line registration process.
- Thoroughly read the content of the module.
- Complete the on-line examination.
- Complete the evaluation.
- Commercial Support.
The THSTEPS Web-based Continuing Education Series has received no commercial support. - Disclosure of Relevant Financial Relationships.
The THSTEPS Continuing Education Planning Committee and the authors of these modules have no relevant financial relationships to disclose. - Non-Endorsement Statement.
Accredited status does not imply endorsement of any commercial products or services by the Department of State Health Services, Continuing Education Service; Texas Medical Association; or American Nurse Credentialing Center. - Off-Label Use.
Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that the authors of these modules have not included content that discusses off-label use (use of products for a purpose other than that for which they were approved by the Food and Drug Administration).
The following are policies and definitions of terms related to continuing education disclosure:
The intent of disclosure is to allow Department of State Health Services (DSHS) Continuing Education Service the opportunity to resolve any potential conflicts of interest to assure balance, independence, objectivity and scientific rigor in all of its Continuing Education activities.
All faculty, planners, speakers and authors of Department of State Health Services (DSHS) Continuing Education Service sponsored activities are expected to disclose to the Department of State Health Services (DSHS) Continuing Education Service any relevant financial, relationships with any commercial or personal interest that produces health care goods or services concerned with the content of an educational presentation. Faculty, planners, speakers and authors must also disclose where there are any other potentially biasing relationships of a professional or personal nature.
Glossary of Terms
Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect Continuing Education content about products or services of a commercial interest with which she/he has a financial relationship or where there are any other potentially biasing relationships of a professional or personal nature.
Commercial Interest: Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
Financial Relationships: Those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. Relevant financial relationships would include those within the past 12 months of the person involved in the activity and a spouse or partner. Relevant financial relationships of your spouse or partner are those of which you are aware at the time of this disclosure.
Off Label: Using products for a purpose other that that for which it was approved by the Food and Drug Administration (FDA).
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Resources for Case Managers
- IPV Health from Futures Without Violence. (2018). CUES: An Evidence-Based Intervention.
- National Child Traumatic Stress Network. (n.d.).
- Substance Abuse and Mental Health Services Administration. (n.d.). National Child Traumatic Stress Initiative.
- Texas Health and Human Services. (n.d.) Family Violence Program Resources.
- Trauma Informed Care Implementation Resource Center. (2024).
- Traumatic Stress Institute. (n.d.). ARTIC Scale (Attitudes Related to Trauma-Informed Care).
- Volk, K., Guarino, K., Grandin, M., & Clervil, R. (2008). What about You? A Workbook for Those Who Work with Others. National Center on Family Homelessness.
Local and Community Resources for Case Management Clients
Family Resources
Community Resource Coordination Groups are county-based groups of local partners and community agencies that help people with complex needs that can’t be met by a single agency.
Navigate Life Texas provides support and information about the Texas Medicaid waiver programs for families raising children with disabilities. Case managers should encourage parents to add their children to waiver interest lists as soon as possible because the wait for services can be long.
- Call 1-877-438-5658 for information about placing a client on an interest list for long-term services, such as Community Living Assistance and Support Services (CLASS), Deaf Blind with Multiple Disabilities (DBMD) and Medically Dependent Children Program (MDCP) waivers.
- Call the Local Mental Health Authority about the Youth Empowerment Services (YES) waiver program.
- Call the Local Intellectual and Developmental Disability Authority (LIDDA) to place a client on the interest list for the HCS and Texas Home Living Waiver programs. You can search for the client’s LIDDA’s telephone number.
Texas Health and Human Services. (2022). 2-1-1 Texas provides connections to benefits across the state for food, health, housing, employment, legal aid, Medicaid application assistance and more.
Texas Health and Human Services. (n.d.). Medical Transportation Program provides nonemergency medical transportation services to eligible Medicaid beneficiaries who have no other means of transportation to get to a Medicaid health provider.
Texas Health and Human Services. (n.d.). Supplemental Nutrition Assistance Program (SNAP).
Texas Health and Human Services. (n.d.). Temporary Assistance to Needy Families (TANF).
Texas Health and Human Services. (2024). Texas WIC.
Advocacy Organizations
- Disability Rights Texas is a protection and advocacy agency for individuals with disabilities.
- Texas Parent to Parent provides support, information and education to families with children of all ages who have disabilities or chronic illnesses.
Developmental and Educational Resources
- Early Childhood Intervention (ECI) is a statewide program for children birth through age 35 months with disabilities or developmental delays.
- Early Childhood Special Education (ECSE) is provided by Texas independent school districts for children with disabilities ages 3 to 5 years.
- Texas Education Agency. (n.d.). The Texas Legal Framework for the Child-Centered Special Education Process.
Statewide Services for Pregnant Individuals That Are Specified by Law
- Texas Health and Human Services. (n.d.). CHIP and Children’s Medicaid.
- Texas Health and Human Services. (n.d.). Medicaid for Pregnant Women and CHIP Perinatal.
- Texas Health and Human Services. (2024). Texas WIC.
- Texas Health and Human Services. (n.d.). Your Texas Benefits.
Counseling and Mental Health Services
- Texas Department of State Health Services. (2024). Pregnancy, Parenting and Depression.
- Texas Health and Human Services. (n.d.). Children’s Mental Health Family Partner Support Services.
- Texas Health and Human Services. (n.d.). Mental Health and Substance Use.
Nutrition and Housing Assistance
- Texas Department of Housing and Community Affairs. (2024). Help for Texans.
- Texas Health and Human Services. (n.d.). Adult Mental Health Housing.
- Texas Health and Human Services. (2024). Breastmilkcounts.com.
- Texas Health and Human Services. (n.d.). Comprehensive Continuum of Care for Women.
- Texas Health and Human Services. (n.d.). Food.
- Texas Health and Human Services. (n.d.). Texas Food Bank Network Provider.
- Texas Health and Human Services. (n.d.). Texas Simplified Application Project (TSAP) for SNAP Food Benefits.
- Texas Health and Human Services. (2024). Texas WIC Online Classes.
- Texas WIC. (2024). Find WIC office locator.
Parenting Services
- State of Texas. (2024). Family Resources.
- Texas Health and Human Services. (2024). Thriving Texas Families.
Substance Use Disorder Treatment
- Texas Health and Human Services. (n.d.). Chemical Dependency Treatment Facilities.
- Texas Health and Human Services. (n.d.). Maternal Opioid Misuse (MOM) Model.
- Texas Health and Human Services. (n.d.). Pregnant and Parenting Intervention.