TMPPM 2008 > Texas Medicaid Services > Texas Medicaid (Title XIX) Home Health Services > Benefits

24.5.8.1 Physical Therapy Prior Authorization Procedures

To obtain prior authorization for initial and recertification of PT services provided through a home health agency, providers should contact the TMHP Home Health Services Prior Authorization Department at 1-800-925-8957. Home health agencies must provide an initial or subsequent POC to include PT goals, accurate diagnostic information (including ICD-9-CM diagnosis codes) and PT procedure codes and PT evaluation or re-evaluation results at the time a request is made using the POC.

Use the procedure codes listed in "Physical Therapy/Occupational Therapy Procedure Codes" of this manual to submit claims for PT services provided through a home health agency. Indicate modifier AT (indicating the service procedure is an acute treatment) on each PT procedure code. PT services should be billed on a UB-04 CMS-1450 claim form.

Refer to: "THSteps-Comprehensive Care Program (CCP)" for physical therapy services that are not billed as home health services.

"Modifiers" .