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Claims for Telephone (Audio-Only) Nutritional Counseling Services

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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.

To help ensure continuity of care during the COVID-19 (coronavirus) response, Texas Health and Human Services is authorizing providers to bill procedure code S9470 for telephone (audio-only) nutritional counseling delivered from March 15, 2020, through May 31, 2020. Providers should continue to use the 95 modifier to indicate that remote delivery has occurred.

Providers can refer to the Texas Medicaid Provider Procedures Manual, Telecommunication Services Handbook for additional information about the Texas Medicaid telehealth services benefit.

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