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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 : 6.9.1 Indications for Pharmacological Management Services

Pharmacological management refers to the in-depth management of psychopharmacological agents, which are medications with potentially significant side effects, and represents a very skilled aspect of client care. It is intended for use for clients who are being managed primarily by psychotropic medications or electroconvulsive therapy (ECT). Pharmacological management can be provided in both the inpatient and outpatient settings.
Pharmacological management describes a physician service and cannot be provided by a non-physician or “incident to” a physician service, with the exception of CNS, NP, and PA providers whose scope of license in this state permits them to prescribe. Pharmacological management does not refer to the actual administration of medication or observation of the patient taking an oral medication. The administration and supply of oral medication are non-covered services.
Pharmacological management does not count against the 30 psychiatric visits annual limitation.

Texas Medicaid & Healthcare Partnership
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