Case Management for Children and Pregnant Women Rules and Policies

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The Case Management for Children and Pregnant Women program was implemented in September of 2003. 

Case Management for Children and Pregnant Women is a Medicaid-reimbursed case management program that provides health related case management services to Medicaid-eligible children and pregnant women. Case management is one component of the Texas Health Steps services available to children birth through age 20 who are Medicaid-eligible in Texas.  

Case Management for Children and Pregnant Women providers must comply with the Case Management for Children and Pregnant Women policies, Medicaid policies, and state rules and regulations:

Case Management for Children and Pregnant Women Policies FY2015 [PDF 329KB] Revised September 1, 2014

Case Management for Children and Pregnant Women Policies FY2014 [PDF 240KB] Revised September 1, 2013

Case Management for Children and Pregnant Women Rules - Texas Administrative Code (TAC), Title 25, Part 1, Chapter 27 [PDF 116KB] September 2013

Texas Medicaid Provider Procedures Manual (TMPPM)

Health Insurance Portability and Accountability Act (HIPAA) of 1996

Requirements for Reporting Abuse or Neglect, as outlined in Chapter 261 of the Texas Family Code

Texas State Board of Social Workers Examiners Rules- Regulations, Texas Administrative Code (TAC) Title 22, Part 34, Chapter 781

Texas Board of Nursing Rules and Regulations, Texas Administrative Code (TAC), Title 22, Part 11, Chapters 211 – 227

Last updated August 29, 2014