Case Management is a Texas Medicaid benefit for eligible patients who have medical-related needs that might affect their health care. The patients must be eligible for Medicaid and be either:
- A child birth through age 20 with a health condition or health risk.
- A woman of any age who has a high-risk pregnancy.
Many of these patients have complex needs that range from specialty referrals and medical equipment/supplies to educational, psychosocial, financial and transportation services. Case Managers, who are licensed Social Workers or RNs, help patients and their families find and get these services.
You can access resources that provide information on case management services from this page.
Health-care providers play an important role in referring their patients with such needs for case management services. To make a referral, call 1-877-THSTEPS or obtain a Referral Form.
Learn More About Case Management
Online Provider Training
The tutorial has been specifically designed for case management providers who have been approved by DSHS to provide case management services. This is supplemental training to enhance your provision of case management services.
In-Person Provider Training
The pre and post-test listed below should only be completed by case management providers that have been approved by DSHS and are enrolled in or have attended the in-person case management training.
Resources for Providers
The printed materials below are available for download in PDF format and can be ordered here.
Case management brochure
Case Management Poster
Flyer for Case Management Provider Recruitment
Resources for Personal Care Services
Personal Care Services (PCS) is a Medicaid benefit that helps clients with everyday tasks. These tasks are called activities of daily living (ADLs) and instrumental activities of daily living (IADLs).
For more information, or for questions about the PCS benefit, call the Texas Medicaid & Healthcare Partnership (TMHP) PCS Client Line toll free at 1-888-276-0702, Monday through Friday, 7 a.m. to 7 p.m.