Table of Contents Previous Next Index

2012 Texas Medicaid Provider Procedures Manual

Behavioral Health, Rehabilitation, and Case Management Services Handbook : 6. Physician, Psychologist, and Licensed Psychological Associate (LPA) Providers : 6.11 Psychotherapy or Counseling : 6.11.4 Subsequent Outpatient Psychotherapy or Counseling for an Individual, Group or Family

6.11.4
Client Condition Requirements
All of the requirements for the first authorized treatment sessions must be met in addition to an assessment of the client’s response to treatment that indicates one of the following:
The client has not achieved the discharge goal necessary to conclude treatment, but the description of the client’s progress indicates that successful treatment can be concluded with this extension request.
The client has not achieved the discharge goal necessary to conclude treatment and there is potential for serious regression or admission to a more intensive setting without ongoing outpatient management (requiring several months or longer of outpatient therapy).

Texas Medicaid & Healthcare Partnership
CPT only copyright 2011 American Medical Association. All rights reserved.