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December 2016 Texas Medicaid Provider Procedures Manual

Behavioral Health, Rehabilitation, and Case Management Services Handbook : 4 Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), and Licensed Professional Counselor (LPC) : 4.3 Documentation Requirements

4.3
All services require documentation to support the medical necessity of the service rendered, including behavioral health services. The documentation must support the medical necessity of the behavioral therapy for the duration of the therapy from beginning to end.
Behavioral health services are subject to retrospective review and recoupment if documentation does not support the service billed.

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