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7.4.5.2 Behavioral Health Billing
Services provided under the STAR Program are billed to the STAR HMO in which the patient is enrolled. The STAR Program in the Dallas SA covers medically necessary physical health-care services and behavioral health services that are delivered by medical providers, such as primary care physicians, FQHCs, and RHCs. STAR also covers ambulatory laboratory and ancillary services required to diagnose or treat behavioral health conditions and psychological testing for certain non-behavioral health diagnoses.
The program-related forms are the CMS-1500 and UB-04 CMS-1450.
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