Case Management for Children and Pregnant Women (CPW)

Interested in helping your patients get needed services once they leave your office?

Do you know a child with a health condition or risk or a woman with a high-risk pregnancy that are Medicaid-eligible and would benefit from the assistance of a professional, experienced advocate who can:

  • Assess patients and families comprehensively for their psychosocial needs;
  • Help patients problem-solve difficult health-related situations;
  • Help patients find and access community services; and
  • Provide patients with follow-up to assure needs are met.

Did you know that there is a Medicaid service that can provide experienced licensed social workers and RNs who can supply all of the above case management services to your patients? 

Case Management for Children and Pregnant Women (CPW) is a case management program that provides health related case management services to Medicaid eligible children with a health condition or health risk and high risk pregnant women. CPW services include assessing the needs of eligible patients, formulating a service plan, making referrals, problem solving, advocacy and follow up regarding patient and family needs. CPW case managers assist patients in accessing needed health related services and benefits. Case managers refer to a variety of resources and coordinate services when needed with community agencies and schools.

CPW providers are licensed social workers or RNs working as individuals or employed by schools, health departments, counseling agencies, health clinics and other types of agencies. Providers are approved through the Texas Department of State Health Services (DSHS) and enrolled with The Texas Medicaid & Healthcare Partnership (TMHP) as Medicaid providers. Case managers have experience assessing the psychosocial needs of children and/or pregnant women, and making community referrals to address their service needs.

If you have a patient who you think could benefit from CPW services call 1-877-THSteps (1-877-847-8377) to make a case management referral.

Also, if you know of any qualified individuals that might be interested in providing case management assistance to families as CPW providers, please share the following information about recent CPW Provider rate increases with them:

Providers are reimbursed $124.15 for the assessment/service plan development and $62.08 for face-to-face follow-up contacts and $23.28 for telephone follow-up contacts.

To find out more information about becoming a CPW provider, agencies or qualified case managers may contact the CPW Program at DSHS by calling 512-458-7111 ext. 2168. More information about CPW, including a list of providers in your area, can also be found by going to: http://www.dshs.state.tx.us/caseman/default.shtm.