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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 : 5.2.3.7 Billing Units

5.2.3.7
All claims for reimbursement for rehabilitative services are based on the actual amount of time the eligible individual or primary caregiver or legal guardian of an eligible individual is engaged in face-to-face contact with a service provider. The billable units are individual, group (15 continuous minutes), and day programs (45 to 60 continuous minutes). No reimbursement is available for partial units of service.

Texas Medicaid & Healthcare Partnership
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