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7.15 Inpatient Behavioral Health Services
Inpatient behavioral health services, provided in the inpatient hospital setting and performed by the following providers are benefits to clients of any age with the diagnoses outlined below when provided in the inpatient hospital setting:
• CNS
•Hospitals
•Licensed psychologist
•LPA
•Licensed psychologist groups
•PA
•Physician/psychiatrist
•Physician/psychiatrist groups
•NP
Inpatient psychiatric treatment is a benefit of Texas Medicaid if the following apply:
•The client has a psychiatric condition that requires inpatient treatment
•The inpatient treatment is directed by a psychiatrist
•The inpatient treatment is provided in a nationally accredited facility or hospital
•The provider is enrolled in Texas Medicaid
Physicians, psychologists, CNSs, PAs, and NPs are not required to obtain prior authorization for inpatient behavioral health services.
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