Table of Contents Previous Next

December 2016 Texas Medicaid Provider Procedures Manual

Behavioral Health, Rehabilitation, and Case Management Services Handbook : 3 Case Management for Children and Pregnant Women : 3.3 Services, Benefits, Limitations, and Prior Authorization : 3.3.1 Prior Authorization

3.3.1
All services must be prior authorized. One comprehensive visit is approved for all eligible clients. Follow-up visits are authorized based on contributing factors. Additional visits can be requested and may be authorized based on a continuing need for services. A prior authorization number is required on all claims for Case Management for Children and Pregnant Women services.
Note:
Approved case management providers may submit requests for prior authorization from DSHS on the DSHS website at www.dshs.state.tx.us/caseman/subpaweb.shtm.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2014 American Medical Association. All rights reserved.