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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 : 5.4 Claims Filing and Reimbursement : 5.4.1 Managed Care Clients

Claims for managed care clients must be submitted to the 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.

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