Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details.
The current Texas Medicaid Provider Procedures Manual, Volume 2, Vision and Hearing Services Handbook, subsection 220.127.116.11, “Abnormal Hearing Screening Results” regarding requirements for Early Childhood Intervention (ECI) is being updated with the December release.
The following is the updated statement:
The client’s responsible adult may refuse to permit the referral or decline ECI services at any time. The provider must document the client's responsible adult’s decision in the client's medical record.
For more information, call the TMHP Contact Center at 800-925-9126.