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32.1.1 Medicaid Managed Care Enrollment
MR service coordination, MH case management, and MH rehabilitative services providers are not required to enroll with Medicaid Managed Care. Claims for MR and MH services are submitted to TMHP for all Medicaid clients including Medicaid Managed Care clients.
Exception: MH providers in the Dallas service area must join the NorthSTAR Behavioral Health Organizations (BHO) to provide services to NorthSTAR clients.
NorthSTAR is a managed care program in the Dallas service area that covers behavioral health services. MH providers that provide behavioral health services to clients in NorthSTAR must be members of the NorthSTAR BHOs.
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