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December 2016 Texas Medicaid Provider Procedures Manual

Children’s Services Handbook : 2 Medicaid Children’s Services Comprehensive Care Program (CCP) : 2.8 Health and Behavior Assessment and Intervention : 2.8.3 HBAI Services Provided by Psychologists

HBAI services (procedure codes 96150, 96151, 96152, 96153, 96154, and 96155) are a benefit when rendered by psychologist, provisionally licensed psychologist (PLP), or licensed psychological assistant (LPA) providers who are practicing under the direct supervision of a psychologist.
The appropriate modifier in the table below must be used to identify whether the psychologist, PLP or LPA rendered the service.
Refer to:
Section 6, “Physician, Psychologist, and Licensed Psychological Associate (LPA) Providers” in the Behavioral Health, Rehabilitation, and Case Management Services Handbook (Vol. 2, Provider Handbooks) for more information about psychologist providers.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2014 American Medical Association. All rights reserved.