TMPPM 2008 > Texas Medicaid Services > School Health and Related Services (SHARS) > Benefits and Limitations

   
 

42.6.2 Counseling Services

Counseling services are provided to help a child with a disability benefit from special education and must be listed in the IEP. Counseling services include, but are not limited to:

Assisting the child and/or parents in understanding the nature of the child's disability.

Assisting the child and/or parents in understanding the special needs of the child.

Assisting the child and/or parents in understanding the child's development.

Health and behavior interventions to identify the psychological, behavioral, emotional, cognitive, and social factors that are important to the prevention, treatment, or management of physical health problems.

Assessing the need for specific counseling services.

Counseling services must be provided by a professional who has one of the following certifications or licensures: a licensed professional counselor (LPC), a licensed clinical social worker (LCSW, formerly LMSW-ACP), a licensed marriage and family therapist (LMFT), or a licensed psychologist.

Counseling services are billable on an individual (1-96152) or group (1-96153) basis. Session notes are required and documentation must include the billable start time, billable stop time, total billable minutes, activity performed during the session, student observation, and the related IEP objective.

School districts may receive reimbursement for emergency counseling services as long as the student's IEP includes a behavior improvement plan that documents the need for emergency services.


Texas Medicaid & Healthcare Partnership
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