HHSOIG - A-07-21-03246 - 22-A-07-08603

We recommend that the Montana Department of Public Health and Human Services require TCM providers to comply with established policies and procedures in order to ensure that: o case managers who render TCM services to recipients have the experience required by the State plan supplement, o TCM providers maintain documentation to support the TCM services rendered, o TCM providers maintain documentation to support that case managers are qualified to perform TCM services, o the State agency does not pay TCM providers or claim Federal Medicaid reimbursement for services that are not allowable TCM services, and o recipients receiving TCM services are eligible to receive those services.