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2012 Texas Medicaid Provider Procedures Manual

Behavioral Health, Rehabilitation, and Case Management Services Handbook : Index

B
Behavioral health
see also Licensed clinical social worker (LCSW)
see also Licensed marriage and family therapist (LMFT)
see also Licensed professional counselor (LPC)
see also Licensed psychological associate (LPA)
see also Physician
see also Psychologist
claims filing BH-53
court-ordered and DFPS-directed services BH-33
electroconvulsive therapy (ECT) BH-34
family therapy/counseling services BH-34
forms
Ambulatory (Outpatient) Substance Abuse Counseling Extension Request Form BH-75
Outpatient Psychotherapy/Counseling Request Form BH-76
Psychological/Neuropsychological Testing Request Form BH-77
inpatient services BH-52
consultations BH-53
discharge BH-53
documentation BH-53
prior authorization BH-53
psychological and neuropsychological testing services BH-53
mental health (MH) mental retardation (MR) BH-20
benefits and limitations BH-21
billing units BH-24
claims filing BH-25
documentation requirements BH-24
enrollment BH-20
mental health rehabilitation BH-23
rehabilitative services limitations BH-24
service coordination contact codes BH-21
narcosynthesis BH-51
non-covered services BH-51
outpatient services BH-31
annual encounter/visit limitations BH-31
prior authorization BH-31
pharmacological management services BH-35
claims filing BH-37
documentation requirements BH-37
indications for BH-36
prior authorization BH-37
pharmacological regimen oversight BH-35
claims filing BH-37
documentation BH-37
indications for BH-36
prior authorization BH-37
psychiatric diagnostic interviews BH-38
claims filing BH-40
documentation requirements BH-40
domains of a clinical evaluation BH-40
prior authorization BH-39
psychological and neuropsychological testing BH-42
documentation requirements BH-44
prior authorization BH-44
reimbursement BH-45
psychotherapy/counseling BH-46
documentation requirements BH-48
initial outpatient BH-48
insight oriented behavior modification BH-50
prior authorization BH-47
subsequent outpatient BH-49
supportive outpatient BH-50
screening, brief intervention, and referral to treatment (SBIRT)
benefits and limitations BH-56
brief intervention BH-55
brief treatment BH-55
claims filing BH-57
documentation requirements BH-57
referral to treatment BH-56
screening BH-55
substance use disorder (SUD) services BH-58
assessment BH-59
documentation requirements BH-69
medication assisted therapy (MAT) BH-61
non-covered services BH-72
prior authorization BH-62
Blind Children’s Vocational Discovery and Development Program (BCVDDP)
behavioral health BH-7
claim form example BH-81
claims filing BH-8
documentation requirements BH-8
enrollment BH-8
C
Case Management for Children and Pregnant Women (CPW)
assistance with program concerns BH-11
behavioral health BH-9
benefits and limitations BH-11
claim form example BH-82
claims filing BH-12
documentation requirements BH-12
eligibility BH-9
enrollment BH-10
prior authorization BH-11
referral process BH-10
technical assistance BH-11
Claims filing
behavioral health BH-53
Blind Children’s Vocational Discovery and Development Program (BCVDDP) BH-8
Case Management for Children and Pregnant Women (CPW) BH-12
licensed clinical social worker (LCSW) BH-19
licensed marriage and family therapist (LMFT) BH-19
licensed professional counselor (LPC) BH-19
mental health (MH) mental retardation (MR) BH-25
pharmacological management services BH-37
pharmacological regimen oversight BH-37
screening, brief intervention, and referral to treatment (SBIRT) BH-57
D
Department of Assistive and Rehabilitative Services BH-8
Division for Blind Services BH-8
E
ECT
see Electroconvulsive therapy (ECT)
Electroconvulsive therapy (ECT) BH-34
F
Forms
Ambulatory (Outpatient) Substance Abuse Counseling Extension Request Form BH-75
Outpatient Psychotherapy/Counseling Request Form BH-76
Psychological/Neuropsychological Testing Request Form BH-77
L
LCSW
see Licensed clinical social worker (LCSW)
Licensed clinical social worker (LCSW)
behavioral health services BH-12
benefits and limitations BH-13
claim form example BH-83
claims filing BH-19
documentation requirements BH-19
enrollment BH-12
prior authorization BH-16
court-ordered and DFPS-directed services BH-19
more than 30-encounters per year BH-16
subsequent prior authorization requests BH-18
Licensed marriage and family therapist (LMFT)
behavioral health services BH-12
benefits and limitations BH-13
claims filing BH-19
documentation requirements BH-19
enrollment BH-13
prior authorization BH-16
court-ordered and DFPS-directed services BH-19
more than 30-encounters per year BH-16
subsequent prior authorization requests BH-18
Licensed professional counselor (LPC)
behavioral health services BH-12
benefits and limitations BH-13
claim form example BH-85
claims filing BH-19
documentation requirements BH-19
enrollment BH-13
prior authorization BH-16
court-ordered and DFPS-directed services BH-19
more than 30-encounters per year BH-16
subsequent prior authorization requests BH-18
Licensed psychological associate (LPA)
behavioral health services BH-25
benefits and limitations BH-27
12-hour system limitation BH-27
formula applied BH-30
procedure codes BH-28
retrospective review BH-28
enrollment BH-26
LMFT
see Licensed marriage and family therapist (LMFT)
LPC
see Licensed professional counselor (LPC)
M
Mental health case management
claim form example BH-86
P
Physician
behavioral health services
benefits and limitations BH-27
enrollment BH-25
retrospective review BH-28
Prior authorization
Case Management for Children and Pregnant Women (CPW) BH-11
inpatient behavioral health services BH-53
Licensed clinical social worker (LCSW) BH-16
Licensed marriage and family therapist (LMFT) BH-16
Licensed professional counselor (LPC) BH-16
outpatient behavioral health services BH-31
pharmacological management services BH-37
pharmacological regimen oversight BH-37
psychiatric diagnostic interviews BH-39
psychological and neuropsychological testing BH-44
psychotherapy/counseling BH-47
substance use disorder (SUD) services BH-62
Psychologist
behavioral health services BH-25
benefits and limitations BH-27
12-hour system limitation BH-27
formula applied BH-30
procedure codes BH-28
retrospective review BH-28
claim form example BH-87
enrollment BH-26
S
SBIRT
see Behavioral health
Screening, brief intervention, and referral to treatment (SBIRT)
see Behavioral health
Substance use disorder (SUD) services BH-58
assessment BH-59
documentation requirements BH-69
medication assisted therapy (MAT) BH-61
non-covered services BH-72
prior authorization BH-62
 

Texas Medicaid & Healthcare Partnership
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