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December 2016 Texas Medicaid Provider Procedures Manual

Behavioral Health, Rehabilitation, and Case Management Services Handbook : 8 Substance Use Disorder (SUD) Services (Abuse and Dependence) : 8.5 Detoxification Services : 8.5.2 Residential Detoxification Services

Residential detoxification is appropriate when the client’s medical needs do not warrant an acute inpatient hospital admission, but the severity of the anticipated withdrawal requires close monitoring.
The assessment by a CDTF is required before services begin; however, if the client’s condition is such that a comprehensive assessment cannot be completed, it is appropriate to conduct an abbreviated assessment on admission. The full assessment must be completed within 24 hours of admission.
Residential detoxification services must be billed with procedure codes H0012, H0031, H0047, S9445, or T1007 and modifier HF.
Medically-supervised hospital inpatient detoxification is appropriate when one of the following criteria is met:

Texas Medicaid & Healthcare Partnership
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