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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) : 7.5 Reimbursement and Limitations

7.5
SBIRT is limited to clients who are 10 years through 20 years of age.
SBIRT is limited to a maximum of three dates of service following the first session, per calendar year, by any provider. If a client requires more than three dates of services per year, the client must be referred for chemical dependency treatment.
Procedure code H0050 must be submitted in 15-minute increments, with a maximum of 3 units (45 minutes) per date of service by any provider. The reimbursement rate for procedure code H0050 is $26.93 per 15 minutes.
Procedure code H0050 will be denied if it is billed for the same date of service, by the same provider, as any of the following procedure codes:

Texas Medicaid & Healthcare Partnership
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