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December 2016 Texas Medicaid Provider Procedures Manual

Children’s Services Handbook : Appendix C. Lead Screening : C.4 Environmental Lead Investigation Services : C.4.4.2 Managed Care Clients

C.4.4.2
ELI services are carved-out of the Medicaid Managed Care Program and must be billed to TMHP for payment consideration. Carved-out services are those that are rendered to Medicaid Managed Care clients but are administered by TMHP and not the client’s managed care organization (MCO).

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