Non-Medical Case Management Services
Indirect services provided under Non-Medical Case Management will no longer be an eligible line item.
If friends or family members of a client pick up food bank, or transportation vouchers on behalf of a client, the organization may not bill NMCM units for that interaction. When providing vouchers or food pantry items to someone who is not the client, a release of information must be in place for the organization to speak to/provide items to that person.
Collaboration with a professional service provider on behalf of the client (clinic staff, government office or other) is eligible for reimbursement under this line item, and should be coded correctly between “Face to Face” as “Non Face to Face” and “Advocacy” as the encounter topic.
The encounter topics for Advocacy is defined below.
- Collaboration with or advocacy to a professional services organization on behalf of the client (clinic staff, government office or other).
SHP has added Standard 8.1.H to reflect these change.
|8.1.H||Services provided to friends or family members of a client are not eligible for billing under this line item.||Documented in the program’s policy, and invoicing practices.|
The exception is Case Conferencing which may be utilized any time that a formal case conference conducted and the correct amount of time is billed for each client.