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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 : Skills Training and Development
Procedure code H2014 may be reimbursed for up to 16 units (4 hours) per calendar day, in any combination.
Individual services for the child and adolescent (with or without other individual)
Note: These services are rendered to the child or to the parent, guardian or legally authorized representative (LAR) on behalf of the child as clinically indicated in the child’s individualized treatment plan.
Claims for managed care clients must be submitted to to client’s MCO. Targeted case management and psychiatric rehabilitation services that are funded by by a criminal justice agency (submitted with modifier HZ) are carved out and must be submitted to TMHP.

Texas Medicaid & Healthcare Partnership
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