Case management must make key decision in the component of treatment service before incorporating funding into it structure. This is especially true when using services through Medicaid and Medicare HMOs. Controlling costs while providing care demonstrate the ability of the case managers to utility their skill in managing a care company (NCBI, 1998). For example, one of my clients was living in a living assisted facility, but wanted to return home, even though her doctor felt she wasn't ready. In this case, case management provide the clients with supportive services to help in a successful transition. The best way to develop a comprehensive case management system is to improve quality of care by controlling the costs. Only then, will