Targeted Case Management for High Cost Medi-Cal Members
Targeted Case Management (TCM) for High Cost Members (HCM) dataset refers to Medi-Cal members who have complex medical, behavioral, or social needs that result in high utilization of services and costs. TCM is designed to help these individuals access and coordinate necessary services more effectively, potentially reducing avoidable hospitalizations, emergency department visits, and other costly interventions. This table includes TCM-HCM data by county.
Complete Metadata
| @type | dcat:Dataset |
|---|---|
| accessLevel | public |
| contactPoint |
{
"fn": "Data Analytics Division, Data Science Branch",
"@type": "vcard:Contact",
"hasEmail": "mailto:OpenData@dhcs.ca.gov"
}
|
| description | Targeted Case Management (TCM) for High Cost Members (HCM) dataset refers to Medi-Cal members who have complex medical, behavioral, or social needs that result in high utilization of services and costs. TCM is designed to help these individuals access and coordinate necessary services more effectively, potentially reducing avoidable hospitalizations, emergency department visits, and other costly interventions. This table includes TCM-HCM data by county. |
| distribution |
[
{
"@type": "dcat:Distribution",
"title": "TCM Among Members with 1+ Specialty Mental Health Service",
"format": "CSV",
"mediaType": "text/csv",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=fe3c7c3e-058a-461a-a4a3-0ef682556760&limit=0",
"description": "Targeted Case Management (TCM) for High Cost Members (HCM) data file includes the percentage of Medi-Cal Members identified as “high cost” and had one or more specialty mental health service, who received targeted case management, by county and year.",
"downloadURL": "https://data.chhs.ca.gov/dataset/da7a0fc1-aa2b-47d1-8ac5-f00713968f26/resource/ff144418-aa66-4bfd-8430-d925908d4520/download/hcm-tcm_cy2020-2023.csv",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "Data Dictionary - TCM Among Members with 1+ Specialty Mental Health Service",
"format": "CSV",
"mediaType": "text/csv",
"description": "Data Dictionary for https://data.chhs.ca.gov/dataset/da7a0fc1-aa2b-47d1-8ac5-f00713968f26/resource/ff144418-aa66-4bfd-8430-d925908d4520/download/hcm-tcm_cy2020-2023.csv",
"downloadURL": "https://data.ca.gov/datastore/dictionary_download/fe3c7c3e-058a-461a-a4a3-0ef682556760",
"isDataDictionary": true
},
{
"@type": "dcat:Distribution",
"title": "All resource data",
"format": "ZIP",
"mediaType": "application/zip",
"downloadURL": "https://data.chhs.ca.gov/dataset/da7a0fc1-aa2b-47d1-8ac5-f00713968f26/resource/6799c0f3-b070-4eec-94ac-014c52c11ae6/download/tcm-for-hcm-enuk44x4.zip"
}
]
|
| identifier | 2d400c13-6590-4250-96e2-4f69c3e2d9ca |
| issued | 2025-11-10T18:07:34.739605 |
| keyword |
[
"County",
"DHCS",
"HCB",
"HCM",
"High Cost Members",
"TCM",
"Targeted Case Management",
"california department of health care services"
]
|
| license | http://www.opendefinition.org/licenses/cc-by |
| modified | 2025-12-19T17:26:47.919623 |
| publisher |
{
"name": "California Department of Health Care Services",
"@type": "org:Organization"
}
|
| theme |
[
"Health and Human Services"
]
|
| title | Targeted Case Management for High Cost Medi-Cal Members |
