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December 2016 Texas Medicaid Provider Procedures Manual

Children’s Services Handbook : 3 School Health and Related Services (SHARS) : 3.3 Services, Benefits, Limitations, and Prior Authorization : 3.3.9 Speech Therapy (ST) : 3.3.9.4 Speech Therapy Billing Table

3.3.9.4
 
Individual
or Group
Licensed/certified assistant acting under the supervision or direction of an SLP
Licensed/certified assistant acting under the supervision or direction of an SLP
Providers must use a 15‑minute unit of service for billing.
Refer to:
The recommended maximum billable time for evaluation is three hours, which may be billed over several days. The recommended maximum billable time for direct therapy (individual or group) is a total of one hour per day. Providers must submit documentation of the reasons for the additional time, if more than the recommended maximum time is billed.

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