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Case Management
Taxonomy Code 251B00000X

Level II Classification

  • Medicare Specialty Code:

  • Medicare Provider Type:

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified]

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