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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 : 6.9 Pharmacological Management Services

Pharmacological management is a benefit of Texas Medicaid when provided by a physician, CNS, NP, or PA.
The focus of a pharmacological management encounter or visit is the use of medication to treat a client’s signs and symptoms of mental illness. When the client continues to experience signs and symptoms of mental illness necessitating discussion beyond minimal outpatient psychotherapy or counseling in a given day, the focus of the service is broader and would be outpatient psychotherapy or counseling rather than strictly pharmacological management.

Texas Medicaid & Healthcare Partnership
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