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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 : 5.4 Claims Filing and Reimbursement

MR coordination services and MH case management and rehabilitative services must be submitted to TMHP in an approved electronic claims format or on the CMS-1500 paper claim form. Providers may purchase CMS-1500 paper claim forms from the vendor of their choice. TMHP does not supply them.
When completing a CMS-1500 paper claim form, all required information must be included on the claim, as TMHP does not key any information from claim attachments. Superbills, or itemized statements, are not accepted as claim supplements.
MHMR are cost reimbursed in accordance with 1 TAC ยงยง355.743, 355.746, and 355.781. Providers can refer to the OFL or the applicable fee schedule on the TMHP website at

Texas Medicaid & Healthcare Partnership
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