---
title: Government Benefits, Waivers & Insurance — Targeted Case Management (TCM)
scope: TODO_SCOPE
covers:
- medicaid
- waiver
- ssi
- ssdi
- insurance
not_covered: []
sources:
- 20260315_Sarah_Otto_Case_Management
last_updated: '2026-03-15'
token_estimate: 621
parent: https://fwmparents.org/resources/government-benefits-waivers-insurance/index.md
---

# Government Benefits, Waivers & Insurance — Targeted Case Management (TCM)

- [Targeted Case Management of Kansas](https://tcmsks.com/) is a Medicaid-funded service that helps individuals with IDD navigate systems, services, and long-term planning — it is a **system navigator**, not a direct care provider — *[Sarah Otto, Mar 2026](https://fwmparents.org/sessions/20260315_Sarah_Otto_Case_Management/notes.md)*

- TCM responsibilities: assessment, person-centered support plan development, referral to services, monitoring, and transition planning — *[Sarah Otto, Mar 2026](https://fwmparents.org/sessions/20260315_Sarah_Otto_Case_Management/notes.md)*

- TCM does **not** provide direct care — case managers do not transport, prepare meals, schedule appointments, or provide personal care — *[Sarah Otto, Mar 2026](https://fwmparents.org/sessions/20260315_Sarah_Otto_Case_Management/notes.md)*

- TCM vs. Insurance Care Coordination: Insurance care coordinators handle medical authorizations; TCM focuses on community living and daily-life supports — *[Sarah Otto, Mar 2026](https://fwmparents.org/sessions/20260315_Sarah_Otto_Case_Management/notes.md)*

- You always have a choice in who your case manager is — you can change providers at any time — *[Sarah Otto, Mar 2026](https://fwmparents.org/sessions/20260315_Sarah_Otto_Case_Management/notes.md)*

- TCM of Kansas manages caseloads using a weighted system — typically 32-40 individuals per case manager depending on complexity — *[Sarah Otto, Mar 2026](https://fwmparents.org/sessions/20260315_Sarah_Otto_Case_Management/notes.md)*

- **Contact:** Sarah Wren Otto, M.Ed., MPA — Managing Director — (913) 229-3643 — Sotto@tcmsks.com — [www.tcmsks.com](https://tcmsks.com/) — *[Sarah Otto, Mar 2026](https://fwmparents.org/sessions/20260315_Sarah_Otto_Case_Management/notes.md)*

- TCM of Kansas shares office space with [Down Syndrome Innovations](https://kcdsi.org/) at 5916 Dearborn Street, Mission, KS 66202 — *[Sarah Otto, Mar 2026](https://fwmparents.org/sessions/20260315_Sarah_Otto_Case_Management/notes.md)*

- Sarah is also on the Board of Directors for [Camp Encourage](https://campencourage.org/), a camp for autistic youth in the KC metro — *[Sarah Otto, Mar 2026](https://fwmparents.org/sessions/20260315_Sarah_Otto_Case_Management/notes.md)*

---

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