Families/clients eligible for case management services have complex medical care and/or complex psycho-social needs (documented in the LHD client file) that would benefit from intervention, direction, and action provided by an outside, independent professional. CSHCS Case Management services are provided to the client/family to promote continuity of care, appropriate services, and development of independence and maximum potential. Case Management requires the development of a comprehensive plan of care (POC) which meets the minimum elements, as determined by MDHHS, and is monitored/revised as necessary. Case Management services address complex needs and services and include an initial face-to-face encounter with the beneficiary/family. Case Management requires that services be provided in the home setting or other non-office setting based on family preference.