TMPPM 2008 > Texas Medicaid Services > Texas Health Steps (THSteps) > THSteps-Comprehensive Care Program (CCP)

   
 

43.4 THSteps-Comprehensive Care Program (CCP)

43.4.1 THSteps-CCP Overview

THSteps-CCP is an expansion of the EPSDT service as mandated by the OBRA of 1989, which requires all states to provide all medically necessary treatment for correction of physical or mental problems to THSteps-eligible clients when FFP is available even if the services are not covered under the state's Medicaid plan. This expansion of services is provided only for those clients birth through age 20 years who are eligible to receive THSteps services. If the client's Medicaid identification (Form H3087) states "Emergency Care," "PE," or "QMB," the client is not eligible for THSteps-CCP benefits.

In May 1991, the CMS issued a clarification of this legislation that expanded THSteps-CCP services to include treatment for problems identified by any health-care professional, regardless of whether a formal EPSDT check up has been performed.

The following THSteps-CCP provider sections describe the specific requirements of each area of responsibility:

"Comprehensive Outpatient Rehabilitation Facilities (CORFs)/Outpatient Rehabilitation Facilities (ORFs)" .

"Durable Medical Equipment Supplier (THSteps-CCP Only)" .

"Early Childhood Intervention (ECI) (THSteps-CCP Only)" .

"Licensed Dietitians (THSteps-CCP Only)" .

"Occupational Therapists (THSteps-CCP Only)" .

"Orthotic and Prosthetic Suppliers (THSteps-CCP Only)" .

"Personal Care Services (THSteps-CCP Only)" .

"Pharmacies (THSteps-CCP Only)" .

"Private Duty Nursing (PDN) THSteps-CCP Only" .

"Psychiatric Hospital/Facility (Freestanding) (THSteps-CCP Only)" .

"Speech-Language Pathologists (THSteps-CCP Only)" .

Refer to: "THSteps Medical and Dental Administrative Information" for more information.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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