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Managed Care Overview
TennCare Partners
Monitoring and Evaluation Reports
Ombudsman
Centers of Excellence
Managed
Care Standards for the Delivery of Behavioral Health Services Manual (June
2006)
Manual
for Mental Health Coverage to
Uninsured Tennesseans
(January 2006)
Crisis Response Training Manual
for Crisis Services Providers
For Answers to Post Test,
Contact Trish Wilson
at (615) 532-9156
or Email
Trish.Wilson@state.tn.us
Clinically Related
Group / Targeted Population (CRG/TPG) Group Assessments Manual

Departmental
Offices
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Office
of Managed Care
Clinically Related Group (CRG) and
Target Population Group (TPG) Assessments:
Clinically Related Group (CRG) and Target Population
Group (TPG)
assessments are used to provide operational definitions based
on Federal
guidelines for classifying mental health service consumers for
the purpose
of national, state, regional, and community service planning.
CRG assessments
used for adults age 18 and above and TPG assessment is used for children/
adolescent under age 18. These assessments are done by TDMHDD approved
CRG/TPG raters from authorized Community Mental Health Agencies and Regional
Mental Health Institutes.
Behavioral Health Organizations are responsible for organizing and coordinating
all the covered mental health and substance abuse services needed by consumers
with an emphasis on achieving positive mental health outcomes for the
consumers. The CRG/TPG Assessment aids in identifying those adults who
are Severely and/or Persistently Mentally Ill (SPMI/SMI) and children
with Serious Emotional Disturbance (SED).
The CRG assessment is based on person’s diagnosis, severity
of impairment, duration of impairment, and need for services to
prevent relapse. Based on this information, a rating of 1-5 is
assigned to an adult, a rating of 1, 2, or 3 indicates SPMI/SMI.
The TPG assessment is based on child’s diagnosis, severity
of impairment, and presence of psychosocial issues, which can
put the child at risk of a SED. Based on this information, a rating
of 2-4 is assigned to a child, a rating of 2 indicates SED.
For additional information, please contact:
TDMHDD Office of Consumer
Affairs
1-800-560-5767 from 8 AM to 4:30 PM, Monday through Friday
or email:
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