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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 : 6.16 Psychiatric Services for Hospitals : 6.16.2 Documentation Requirements

Documentation of medical necessity for inpatient psychiatric care must specifically address the following issues:
How the services can reasonably be expected to improve the client’s condition or prevent further regression of the client’s condition in a proximate time period.

Texas Medicaid & Healthcare Partnership
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