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December 2016 Texas Medicaid Provider Procedures Manual

Behavioral Health, Rehabilitation, and Case Management Services Handbook : 6 Physician, Psychologist, and Licensed Psychological Associate (LPA) Providers : 6.2 Services, Benefits, Limitations, and Prior Authorization : 6.2.2 Psychologists, LPAs, and PLPs

6.2.2
Psychologists who are licensed by the TSBEP and enrolled as Medicaid providers and LPAs and PLPs who are under the direct supervision of a psychologist are authorized to perform counseling and testing for mental illness or debility. Treatment does not include the practice of medicine.
The services provided by a social worker, psychiatric nurse, or mental health worker are not covered by Texas Medicaid and cannot be billed under the provider identifier of any other outpatient behavioral health provider.
Psychologists must not bill for services performed by students, interns, or licensed professionals under their supervision except for services provided by LPAs and PLPs. For mental health services, only the licensed psychologist and other Medicaid enrolled provider actually performing the service may bill Texas Medicaid. The services provided by an LCSW, LPC, or LMFT are reimbursable directly to the LCSW, LPC, or LMFT.

Texas Medicaid & Healthcare Partnership
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