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December 2016 Texas Medicaid Provider Procedures Manual

Behavioral Health, Rehabilitation, and Case Management Services Handbook : 5 Intellectual Disability Service Coordination, Mental Health Targeted Case Management, and Mental Health Rehabilitative Services : 5.2 Services, Benefits, Limitations, and Prior Authorization : 5.2.3 MH Rehabilitative Services

The following rehabilitative services may be provided to individuals who satisfy the criteria of the MH priority population and who require rehabilitative services as determined by an assessment:
These services may be provided to a person who has a single severe mental disorder (excluding intellectual or developmental disabilities or a substance use disorder) or a combination of severe mental disorders as defined in the most current DSM.
The following modifiers must be billed with the most appropriate procedure code as indicated in the sections below:
If multiple modifiers are indicated for a specific service as shown below, all applicable modifiers must be included on the claim with the most appropriate procedure code.

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