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2012 Texas Medicaid Provider Procedures Manual

Children’s Services Handbook : 3. School Health and Related Services (SHARS) : 3.3 Services/Benefits, Limitations, and Prior Authorization : 3.3.1 Audiology

Audiology evaluation services include:
Audiology therapy services include the provision of habilitation activities, such as language habilitation, auditory training, audiological maintenance, speech reading (lip reading), and speech conversation.
Audiology services must be provided by a professional who holds a valid state license as an audiologist or by an audiology assistant who is licensed by the state when the assistant is acting under the supervision of a qualified audiologist. State licensure requirements are equal to American Speech-Language-Hearing Association (ASHA) certification requirements.
Audiology evaluation is billable on an individual (procedure code 92506) basis only. Audiology therapy is billable on an individual (procedure code 92507) and group (procedure code 92508) basis.
Only the time spent with the student present is billable; time spent without the student present is not billable.
Session notes for evaluations are not required; however, documentation must include the billable start time, billable stop time, and total billable minutes with a notation of the activity performed (e.g., audiology evaluation).
Session notes are required for therapy. Session notes must include the billable start time, billable stop time, total billable minutes, activity performed during the session, student observation, and the related IEP objective.

Texas Medicaid & Healthcare Partnership
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