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December 2016 Texas Medicaid Provider Procedures Manual

Medicaid Managed Care Handbook : 6 NorthSTAR Program : 6.3 NorthSTAR Program Benefits : 6.3.2 Behavioral Health Billing

Services provided under the STAR and STAR+PLUS Programs are billed to the STAR or STAR+PLUS MCO in which the client is enrolled. The STAR and STAR+PLUS Programs in the Dallas SA covers medically necessary physical health-care services and behavioral health services that are delivered by medical providers, such as primary care providers, FQHCs, and RHCs. STAR and STAR+PLUS also cover ambulatory laboratory and ancillary services required to diagnose or treat behavioral health conditions and psychological testing for certain non-behavioral health diagnoses.
The program-related forms are the CMS‑1500 and UB-04 CMS-1450.

Texas Medicaid & Healthcare Partnership
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