Use the links below to access TCM Documents. Not all sample documents are available yet. If you have a sample that you believe to be a candidate for consideration, please send it by email to Cathleen Gentry at cm.gentry@worldnet.att.net.

Please note these are samples of documents and must be customized for each county’s use. Operations vary greatly between counties and documents may not be appropriate for every organizational structure. These documents may also be outdated and were approved by the committee before clarifications were made by DHS. Use these at your own risk.

The State Department of Health Services (SDHS) MAA and TCM Manuals, Policy Letters and other documents can be found in the "Links" page of this website.

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TCM PROGRAM INFORMATION

TCM Essential Elements List

TCM Definitions

MAA/TCM General Information

MAA/TCM Program Time Frames

MAA/TCM Decision Matrix

MAA/TCM History Summary

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TRAINING TOOLS

TCM Training Tools

TCM Today

TCM Quality Assurance - Ventura County

Chart With No Name Song

TCM Guidelines

Program Expansion

It's A TCM World Song

TCM 05-06 Time Survey PowerPoint Training

TCM Wordsearch

TCM Wordsearch Answer Page

MAA/TCM Training Tools

Conducting Local Training 2003

Tips and Tricks for Internet Searches

Fiscal Tools

Please use this information cautiously. Do not hesitate to seek further input before using and/or implementing the ideas contained within these documents.

CA Gold Rush MAA and TCM Maps

Financial Analysis - Slide Notes 2005

Financial Analysis Presentation

Revenue Offset-CPE Goldrush Presentation

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DOCUMENTS AND FORMS

Forms for Documenting a TCM Encounter

Comprehensive Assessment Sample

Assessed Needs Flowsheet Example

Assessment Form - Adult Health

Assessment Form - Child Health

Assessment Form - Infant Health

Assessment Form - Perinatal Health

Assessment/Service Plan Example

Case Data Form Example

Encounter Log Example

Individual Service Plan

Perinatal Reassessment Flow Sheet

PHN Activity Flow Sheet

PHN Data Sheet

PHN Encounter Log

PHN Initial Newborn Assessment Birth-2mos

PHN Newborn Follow-up 0-2 Months

Post Partum Initial Assessment

Progress Notes Example

Comprehensive Assessment Areas

TCM Forms Example

Audit and Site Review Information

Internal Audits Presentation

TCM Program Audit Procedure Example

TCM Program Audit Tool Example

Site Visit Experiences (Part I)

Site Visit Experiences (Part II)

'B' County TCM Performance Monitoring Plan Example

Breakout Session - TCM Documentation Points

TCM Fee Policy/Schedule Example

TCM Performance Monitoring Plan Example

TCM Documentation and Program Compliance

TCM Subcontracts and MOU’s

Basics of Subcontracting-PDF file of all docs

Subcontracting/Contracting for MAA and TCM

Sample Contract/MOU

Subcontracting Meeting Agenda Sample

Responsibility Checklists

MAA/TCM Subcontractor Flyer

Subcontracting - Phase 3: Monitoring

Sample Denial Letter

Sample Interview Letter

Sample Cover Letter for Subcontractor Packet

Subcontractor Packet Sample Questions

Tips for Coordinators Working with Subcontractors

Samples of Backup Documentation for TCM Cost Reports

TCM/MAA Time Survey Form - DHS 7093 (7/99)

Fiscal Considerations

Please use this information cautiously. Do not hesitate to seek further input before using and/or implementing the ideas contained within these documents.

CMAA-TCM Financial Management 101

Allowable Certified Public Expenditure

Miscellaneous TCM Documents

SPMP/Case Manager Qualifications Form

Adult Probation Case Manager Qualification Form

Claiming Unit or Program Manager Role