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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) : 7.4 Referral to Treatment

If the provider determines that the client is in need of more extensive treatment or has a severe risk for substance abuse, the client must be referred to an appropriate chemical dependency treatment center or outpatient behavioral health provider.
Referral to more extensive treatment is a proactive process that facilitates access to care for clients who require a more extensive level of service than SBIRT provides. Referral is an essential component of the SBIRT intervention because referral ensures that all clients who are screened have access to the appropriate level of care.
Referral to more extensive treatment must be integrated during the second, third, and fourth SBIRT sessions, if necessary, unless the client’s condition changes. Referral to more extensive treatment may also occur during the first session.
Providers must refer the client to more extensive treatment as soon as the need is determined.

Texas Medicaid & Healthcare Partnership
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