TMPPM 2008 > Texas Medicaid Services > Chemical Dependency Treatment Facility (CDTF) > Reimbursement

17.2 Reimbursement

CDTFs are reimbursed the lesser of the billed amount or the established maximum allowable fee.

The Texas Medicaid Program covers outpatient counseling services for chemically dependent children and adolescents. The Texas Medicaid Program provides reimbursement for the following outpatient counseling services with modifier HF for the substance abuse program:

Reimbursable procedure codes that are available to the CDTF/DSHS provider type include 9-H0004 with modifier HF and 9-H0005 with modifier HF. Procedure code 9-H0004 is billed in 15-minute intervals. Procedure code 9-H0005 is billed in 1-hour increments.

Refer to: "Reimbursement" for more information.