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December 2016 Texas Medicaid Provider Procedures Manual

Telecommunication Services Handbook : 3 Services, Benefits, Limitations, and Prior Authorization : 3.2 Telehealth Services : 3.2.1 Distant Site

3.2.1
A distant site is the location of the provider rendering the service. Distant-site telehealth benefits include services that are performed by the following providers, who must be enrolled as a Texas Medicaid provider:
Licensed professional counselor
The following procedure codes, when billed with the GT modifier, are a benefit for distant-site telehealth providers:
 

Texas Medicaid & Healthcare Partnership
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