birsinger.charles -TCM
Blair, Cheyanne -TCM
Maggie Scherder -CM Client

Targeted Case Management (TCM) is a group of activities that assist individuals to gain access to the care and services they need. Case Managers / Service Coordinators are also responsible for monitoring the effectiveness of the services and supports being given. Case Management activities may take place in or out of the presence of the individual being assisted, and may include contacts with others, assessments, planning, monitoring and documenting on behalf of that individual.

In Targeted Case Management service, qualified case managers / service coordinators help you to get the things you need to live a happy life, such as:

  • A place to live
  • Medical care
  • Work
  • Equipment
  • Become more independent
  • Transportation
  • Designing individual support plan
  • Finding community resources
  • Checking the services you receive to make sure they are doing what they are supposed to do
  • Preparing paperwork
  • Responding to you in a timely manner
  • Our case managers / service coordinators are qualified developmental disability professionals
  • Our case managers / service coordinators assist fewer people than other agencies, which means more time for you
  • We promise to get to know you and your needs
  • We will help you get what you need

You will not have to pay for Case Management services. The cost will be paid by either your Missouri HealthNet coverage or funded through the Department of Mental Health, Division of Developmental Disabilities (DMH/DD); Medicaid or Lincoln County tax dollars.

For Community Opportunities Targeted Case Management Services, contact Sonya DeMerchant, Director of Case Management by phone at (636) 462-7695, ext. 105 or email

Due to new Federal Medicaid Regulations, Case Management providers can no longer provide both case management services and direct Medicaid Waiver services (such as day program, residential services, community integration, etc.) to the same person. This change is to prevent a conflict of interest.

In order to ensure conflict-free services, our agency entered into an agreement with County Connections (Macon County) to provide local case management conflict-free. Their Service Coordinators have an office in Troy to ensure their consumers have convenient/local access.

For County Connections Service Coordination Services, contact Kim Buckman, County Connections Service Coordinator Director at (573) 735-4282, ext. 106 or (573) 231-6559 or email or visit their website at