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2012 Texas Medicaid Provider Procedures Manual

Behavioral Health, Rehabilitation, and Case Management Services Handbook : 7. Screening, Brief Intervention, and Referral to Treatment (SBIRT)

7.
SBIRT is a comprehensive, public health approach to the delivery of early intervention and treatment services for clients who have substance use disorders and those who are at risk of developing such disorders. Substance abuse includes, but is not limited to, the abuse of alcohol and the abuse of, improper use of, or dependency on illegal or legal drugs. SBIRT is used for intervention directed to individual clients and not for group intervention.
SBIRT is targeted to clients who are 14 years through 20 years of age and who present to the hospital emergency department for a traumatic injury, condition, or accident related to substance abuse. SBIRT may also be medically necessary for clients who are 10 years through 13 years of age.
The first SBIRT session, including screening and brief intervention, must be billed by the hospital using an appropriate revenue code and procedure code H0050. Brief treatment is performed during the second, third, and fourth sessions, outside of the hospital. The second, third, and fourth sessions cannot be billed if clients were not referred from the hospital.
Additional services, outside the four sessions, will not be provided as SBIRT.
Refer to:
Section 8, “Substance Use Disorder (SUD) Services (Abuse and Dependence)” in this handbook for additional information on SUD treatment.

Texas Medicaid & Healthcare Partnership
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