25.2.3.4 Rehabilitation ServicesInpatient rehabilitation services are a benefit of the Texas Medicaid Program when provided in a general acute care hospital setting with an acute condition or an acute exacerbation of a chronic illness in which rehabilitation services are medically necessary in the usual course, treatment, and management of the illness. All services must be documented as medically necessary and ordered by a physician. When submitting the claim, the hospital must include the physician's written treatment plan supporting the medical necessity of the hospitalization and services. All rehabilitation services are subject to Medicaid benefit limitations including the spell of illness. Extensions beyond the regular scope of Medicaid may be offered under THSteps-CCP. Refer to: "Physical Therapists/Independent Practitioners" for more information. |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2007 American Medical Association. All rights reserved. |
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