CMSA Today - Issue 1, 2018 - 16

CASE MANAGEMENT MODEL ACT
REVISED 20171
(CM MODEL ACT)
THE CASE MANAGEMENT MODEL ACT, REVISED VERSION, WAS ADOPTED BY THE CASE MANAGEMENT
SOCIETY OF AMERICA (CMSA) BOARD OF DIRECTORS IN AUGUST 2017.

PREAMBLE
The Case Management (CM) Model
Act establishes the key elements
of a comprehensive case management program that should be implemented at both the federal and
state levels. The Case Management
Society of America (CMSA) encourages public policymakers to review
and use the provisions of this CM
Model Act for legislative and regulatory initiatives geared to reducing healthcare costs, improving
the coordination and transitions of
care, enhancing quality, and promoting better clinical outcomes.
This new version of the CM
Model Act builds upon the initial CM Model Act of 2009, and
has been updated to reflect the
Standards of Practice for Case
Management, Revised 2016.
Professional case managers are
healthcare professionals and pioneers
of healthcare change. They serve as
healthcare team leaders who open new
areas of thought, research and development. Professional case managers positively impact and improve consumer
well-being and healthcare outcomes.
Case management is a personcentric, collaborative process of
assessment, planning, facilitation and
advocacy to meet the individual's
health needs and promote population health management goals. In part,
this is accomplished through enhanced
communication links and the coordination of available resources to promote
high-quality, cost-effective outcomes.
Case management serves as a means
for achieving consumer wellness and

16

CMSA TODAY

Issue 1 * 2018 * DIGITAL

Case management roles
and functions lead to quality care and successful
Case Managem
outcomes. Such outcomes
ent Model Act
Supporting Case
cannot
be achieved withManagement Pr
ograms
out the specialized skills,
knowledge and competencies professional case managers apply throughout the
case management process.
Professional case manager
competencies include critical
thinking and analysis, motivational interviewing, effective
communication, positive relationship building, ability to plan
and organize effectively, negotiation, cost-conscious allocation of resources, knowledge
of health insurance and funding sources, client activation,
empowerment and engagement
autonomy through advoand the ability to effect change and
cacy, communication, education,
perform ongoing evaluation. 2
identification of service resources and
To download the full Case
service facilitation. Case management
supports the goals of value-based purManagement Model Act, go to
chasing by promoting cost-effective
http://solutions.cmsa.org/acton/
strategies that support better qualattachment/10442/f-0464/1/-/-/-/-/
ity, improved outcomes and higher
2017%20Model%20Care%20Act_
consumer satisfaction.
Final%209.27.pdf ■
Professional case managers help
identify appropriate providers and
REFERENCES
1. The CM Model Act can be used by third
facilities throughout the continuum of
parties to develop or draft proposed legislative
services. In addition, professional case
bills, regulations, white papers, and similar
managers help ensure that available
public policy projects with acknowledgement
resources are being used in a timely
of CMSA as the source. For all other purposes,
CMSA retains its copyright interests in the
and cost-effective manner to obtain
document. In such cases, please contact CMSA
optimum value for both the consumer
at (501) 225-2229 for additional information
and the reimbursement source. As a
and/or permission to reproduce all or parts of
general goal, professional case manthis document.
agers often improve the consumer's
2. CMSA Standards of Practice for Case
Management, 2016
experience with care.
CMSA ©2017

Page 1



Table of Contents for the Digital Edition of CMSA Today - Issue 1, 2018

President’s Letter
Association News
CMSA Corporate Partners
CMSA: Reflection on Achievement and Moving Forward in 2018
Revised Case Management Model Act Promotes National Standards
The National Nurse Act
Changes to the Nurse Licensure Compact (NLC): Critical Information for the Nurse Case Manager
The Reflection of a Professional Case Manager: What Do You See in Your Looking Glass?
Past Presidents Corner
Index of Advertisers
CMSA Today - Issue 1, 2018 - Intro
CMSA Today - Issue 1, 2018 - cover1
CMSA Today - Issue 1, 2018 - cover2
CMSA Today - Issue 1, 2018 - 3
CMSA Today - Issue 1, 2018 - 4
CMSA Today - Issue 1, 2018 - 5
CMSA Today - Issue 1, 2018 - President’s Letter
CMSA Today - Issue 1, 2018 - Association News
CMSA Today - Issue 1, 2018 - CMSA Corporate Partners
CMSA Today - Issue 1, 2018 - CMSA: Reflection on Achievement and Moving Forward in 2018
CMSA Today - Issue 1, 2018 - 10
CMSA Today - Issue 1, 2018 - 11
CMSA Today - Issue 1, 2018 - Revised Case Management Model Act Promotes National Standards
CMSA Today - Issue 1, 2018 - 13
CMSA Today - Issue 1, 2018 - 14
CMSA Today - Issue 1, 2018 - 15
CMSA Today - Issue 1, 2018 - 16
CMSA Today - Issue 1, 2018 - 17
CMSA Today - Issue 1, 2018 - The National Nurse Act
CMSA Today - Issue 1, 2018 - 19
CMSA Today - Issue 1, 2018 - 20
CMSA Today - Issue 1, 2018 - Changes to the Nurse Licensure Compact (NLC): Critical Information for the Nurse Case Manager
CMSA Today - Issue 1, 2018 - 22
CMSA Today - Issue 1, 2018 - 23
CMSA Today - Issue 1, 2018 - 24
CMSA Today - Issue 1, 2018 - 25
CMSA Today - Issue 1, 2018 - The Reflection of a Professional Case Manager: What Do You See in Your Looking Glass?
CMSA Today - Issue 1, 2018 - 27
CMSA Today - Issue 1, 2018 - Past Presidents Corner
CMSA Today - Issue 1, 2018 - 29
CMSA Today - Issue 1, 2018 - Index of Advertisers
CMSA Today - Issue 1, 2018 - cover3
CMSA Today - Issue 1, 2018 - cover4
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