Division of Energy Employees Occupational Illness Compensation (DEEOIC)

The purpose of this Circular is to notify all Division of Energy Employees Occupational Illness Compensation (DEEOIC) staff of a new policy regarding the authorization of Targeted Case Management for home health care services.

For the purposes of authorizing the reimbursement of Targeted Case Management (TCM), the DEEOIC will authorize a maximum of 15 minutes (1 unit) of TCM services per week. TCM services may not exceed 26 units for a 6-month period, without the claimant’s physician providing sufficient written medical necessity justification.

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CIRCULAR NO. 19-03