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December 2016 Texas Medicaid Provider Procedures Manual

Telecommunication Services Handbook

Telecommunication Services
Handbook
Table of Contents
1 General Information 3
2 Enrollment 3
3 Services, Benefits, Limitations, and Prior Authorization 4
3.1 Telemedicine Services 5
3.1.1 Distant Site 5
3.1.2 Patient Site 5
3.2 Telehealth Services 6
3.2.1 Distant Site 7
3.2.2 Patient Site 7
3.3 Telemonitoring Services 8
3.3.1 Facility Services 9
3.4 Prior Authorization 9
3.4.1 Prior Authorization of Telemonitoring Services 9
3.5 Documentation Requirements 10
3.5.1 Documentation Requirements for Telemonitoring Providers 10
4 Claims Filing and Reimbursement 11
4.1 Claims Information 11
4.1.1 Telemonitoring Services 11
4.2 Reimbursement 11
5 Claims Resources 12
6 Contact TMHP 12
7 Forms 12
 

Texas Medicaid & Healthcare Partnership
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