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Update to TMPPM Children’s Services Handbook for Freestanding Inpatient Rehabilitation Facility Reimbursement

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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.

Beginning November 1, 2020, TMHP will update the Texas Medicaid Provider Procedures Manual, Children’s Services Handbook, section 2.17.5, “Reimbursement.” The reimbursement information in this section will be removed because it is outdated. A reference will be added to this section for providers to refer to the Inpatient and Outpatient Hospital Services Handbook for reimbursement information.

For more information, call the TMHP Contact Center at 800-925-9126.