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32.3.2.1 Rehabilitative Services Limitations
The Texas Medicaid Program must not be billed for rehabilitative services provided before the establishment of a diagnosis of mental illness and authorization of services; rehabilitative services provided to individuals who reside in an institution for mental diseases; rehabilitative services provided to general acute care hospital inpatients; vocational services; educational services; nursing facility residents who are not mandated to need services by OBRA of 1987; and services provided to individuals in jail or a public institution.
Refer to: 25 TAC, Part I, Chapter 419, Subchapter L and the Medicaid MH Rehabilitative Billing Guidelines for more information.
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