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County approves WebMed agreement to provide out‑of‑county targeted case management for one client

5672904 · June 24, 2025
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Summary

Rice County approved a contract allowing WebMed to provide adult mental health targeted case management (AMH TCM) in Duluth for an individual for whom Rice County is the county of financial responsibility; the county will be billed $4.62 per unit if insurance does not cover services.

Rice County approved an agreement to contract with WebMed to provide adult mental health targeted case management (AMH TCM) for a Rice County individual who currently lives in Duluth.

Presenters from Adult Services said the person has been intermittently served by Rice County since 2019 and has requested a local case manager closer to where he lives. County staff contacted St. Louis County about transferring the county of financial responsibility, but that county was not willing to assume responsibility; staff then arranged for WebMed, the vendor used by St. Louis County, to provide AMH TCM locally. County staff told the board WebMed will bill Rice County $4.62 per unit only when the person’s medical insurance does not cover TCM; presenters noted the current typical TCM rate is $5.47.

Megan Thomas explained county rules for county of financial responsibility and said clients can be served statewide by the county that holds financial responsibility; transfer of responsibility requires a person to reside in the receiving county for two full calendar months and meet other conditions.

The board approved the agreement by voice vote.

Motion: approve agreement with WebMed to provide AMH targeted case management for the named individual, with a backup billing rate of $4.62 per unit when insurance does not cover services.