MHCM Level of Care Guidelines-Required Activities, Case Management Engagement, 2. Face to Face requirements:  The policy increases the face-to-face requirements from once every 90 days to two times every 90 days.  It also adds the requirement that one of these visits must occur in the community.  This double the face-to-face requirements and increases time spent in travel and coordination to ensure individuals are seen in the community increasing the cost to provide the service.  In addition, costs will increase due to the additional unfunded tracking and level of determination requirements.