Welcome to the ECI Family-Centered Case Management (FCCM) Module

In Texas ECI, the service addressed in this module is called case management and the providers of this service are called Service Coordinators. The intent of this self-guided module is to familiarize you with basic information, skills, and resources for your future use as a service coordinator. The training is intended to help you learn the basics to effectively provide quality case management. The sections are intended to be completed in the order that they are listed below. Click on the name of each section to access the presentations, slide notes, handouts and other materials.

What is Case Management?

Broadly speaking, the U.S. Department of Health & Human Services Centers for Medicare and Medicaid Services (CMS) defines case management as “services which help beneficiaries (clients) gain access to needed medical, social, educational, and other services.” IDEA, Part C states, “service coordination (case management) means the activities carried out by a service coordinator to assist and enable a child eligible under this part and the child’s family to receive the rights, procedural safeguards, and services that are authorized to be provided under the State’s early intervention program.”

The intent of case management is to:

1. Assist families in accessing and receiving the services, resources, and supports that they need to support their child’s development. ECI programs provide comprehensive case management for all members of the child’s family as their needs relate to the child’s growth and development.

2. Coordinate services across agencies and people. By coordinating services both from their own program/agency and from other agencies in the community, ECI Service Coordinators ensure that the needs of all members of the family are being met and that services aren’t duplicated.

3. Assist families in understanding and exercising their legal rights. If additional help is needed, advocacy groups and organizations can provide parents with useful information and help them plan how to advocate for their own child or all children with disabilities.

The intent of case management is based on the following core values:

1. Case management services are comprehensive. Services identify any barriers that impact the ability of the family to access services. As with all other ECI services, one size does not fit all. Service coordinators should explore and identify resources that meet every family’s unique and individual needs. Comprehensive case management is an evolving process and requires ongoing assessment of child and family needs.

2. Case management services are family-centered. Family-centered services focus on the family and their contributions to the services they receive. This involves recognizing and building on family strengths, supplying families with the information they need, and respecting the family’s right to refuse or postpone services that are offered or recommended. It means empowering families to develop their own skills to solve problems and achieve long-lasting self reliance.

3. Case management services are partnership based. Service Coordinators should get to know the communities in which they work, such as medical professionals, schools, faith-based organizations, neighborhood groups and community agencies. Knowing what services are available supports the appropriate use of local community resources. Knowing the resources available through written and internet materials supports the use of the larger community in helping families meet their needs.

4. Case management services are culturally sensitive. Cultural sensitivity refers to the respect of another’s beliefs, language, interpersonal styles and behaviors to ensure appropriate and successful case management services. Federal laws are in place to ensure that services are non-discriminatory, and that interpreter services are provided when needed. Laws are also in place regarding translation of written materials.

5. Case management services demonstrate respect of the family’s right to privacy. Confidentiality is addressed in both IDEA and FERPA. The family’s right to privacy begins with the family’s initial contact to the program. It extends to interactions with the family in the community, and after the child is no longer enrolled in the program.

6. Case management services incorporate team input. The service coordinator acts as the single point of contact for the family, but gathers information from other members of the child’s interdisciplinary team, agency and local community resources, and the larger community.

Sections and Approximate Length

Section 1 & 1A (20:00): Laws, Regulations, Rules, and Medicaid

Section 2 (1 hr): Roles and Responsibilities

Section 3 (20:00): Required Skills for Service Coordinators

Section 4 & 4A (30:00): Interagency Collaboration, Community Partnerships, THSteps and Medicaid

Section 5 (20:00): Needs Assessment-Assessing Child and Family Needs

Section 6 (7:00): Ongoing Case Management

Section 7 (20:00): Billing Case Management

Family Centered Case Management Supervisor Guidelines (Updated 1/15/2019)

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