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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

5.2.3
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:
 
Important:
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.

Texas Medicaid & Healthcare Partnership
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