State Plan Amendment (SPA) 16-001 Targeted Case Management Services

On ThursdayOctober 22, 2020, DHCS announced that the Centers for Medicare and Medicaid Services approved State Plan Amendment (SPA) 16-001, with an effective date of January 2, 2016. For California LEAs billing for Targeted Case Management (TCM) services, SPA 16-001 now allows for TCM services to be billed regardless of whether an Individualized Education Plan (IEP) or Individualized Family Services Plan (IFSP) exists. 


DHCS has indicated that further information and guidance will be provided as they prepare to implement this change.