HIV case management includes referral, coordination, assessment, and linkage services provided for people who have Human Immunodeficiency Virus.
Persons are eligible to receive HIV case management services if they:
(1) have a medical diagnosis of HIV disease or HIV seropositivity;
(2) are eligible for regular Medicaid services;
(3) are not institutionalized; and
(4) are not recipients of other Medicaid-reimbursed case management services provide through the State's home and community-based waivers or the State Plan.
Types of HIV case management services include: evaluation of need, development of an individual plan of care, coordination of services included in the plan of care and monitoring of services for quality and effectiveness.
HIV case management services are optional. Medicaid's Early Periodic Screening, Diagnosis and Treatment (EPSDT) program requires that states offer these services, if medically necessary, to children up to age 21. |