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2012 Texas Medicaid Provider Procedures Manual

Behavioral Health, Rehabilitation, and Case Management Services Handbook : 5. Mental Health Rehabilitation, Mental Health Case Management, and Intellectual Disability Service Coordination : 5.2 Services, Benefits, Limitations, and Prior Authorization : 5.2.2 MH Rehabilitative Services : Rehabilitative Services Limitations
Rehabilitative Services Limitations
Texas Medicaid must not be billed for the following:
With the exception of Crisis Intervention Services and Psychological Rehabilitation Services delivered in a crisis situation, no reimbursement is available for a combination of MH rehabilitative services delivered in excess of eight hours per individual, per day.
Refer to:
25 TAC, Part I, Chapter 419, Subchapter L and the Medicaid MH rehabilitative billing guidelines, which are available through the DSHS Mental Health and Substance Abuse Division, for more information.

Texas Medicaid & Healthcare Partnership
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