Effective November 22, 2021, licensed behavior analysts (LBAs) must attest to where services will be provided so that the Texas Health and Human Services Commission (HHSC) can determine applicable site visit requirements for enrollment in Texas Medicaid. This change is meant to simplify the enrollment process by eliminating site visit requirements under certain circumstances.
- When an LBA provides any services at a designated office location, a site visit is required.
- When an LBA exclusively provides services at their own home, HHSC needs additional information to satisfy the site visit requirements.
- When an LBA exclusively provides services at client homes or at locations directed by the clients, a site visit is not required.
LBAs who have designated office space where they render services must use the physical office address where services are provided on the Texas Medicaid enrollment application. Providers who render services at a client’s home or other temporary venue selected by the client must update their physical address to reflect the place where client files and records are kept. For example, an office location (e.g., office space where the provider works, even if client visits are held elsewhere) or the provider’s home address can be used.
Note: Temporary conference room spaces that are occasionally used for client visits but are not leased as office space or used to store client records should not be used as the physical location on the Texas Medicaid application.
LBAs whose Texas Medicaid enrollment applications are currently in process should expect to be contacted by TMHP staff to complete the required attestation. TMHP staff will determine whether address changes to the enrollment application are necessary.
The Licensed Behavior Analysts (LBA) Enrollment in Texas Medicaid with Texas Medicaid & Healthcare Partnership (TMHP) Quick Reference Guide has been updated to include the site visit and attestation requirements. The Quick Reference Guide is available here.
For more information, call the TMHP Contact Center at 800-925-9126.