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December 2016 Texas Medicaid Provider Procedures Manual

Children’s Services Handbook : 2 Medicaid Children’s Services Comprehensive Care Program (CCP) : 2.17 Inpatient Rehabilitation Facility (Freestanding) (CCP) : 2.17.2 Services, Benefits, and Limitations : 2.17.2.1 Comprehensive Treatment

2.17.2.1
The intensity of necessary rehabilitative service cannot be provided in the outpatient setting.
Comprehensive rehabilitation treatment must be under the leadership of a physician. Comprehensive rehabilitation treatment must be an active interdisciplinary team, defined as at least two types of therapies.
Comprehensive treatment must consist of at least two appropriate physical modalities designed to resolve or improve the client’s condition (OT, PT, and ST), and must be provided for a minimum of three hours per day for five days per week.

Texas Medicaid & Healthcare Partnership
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