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Claims for Telemedicine and Telehealth Services for HTW Plus Extended Through January 31, 2022

Last updated on 12/28/2021

This is an update to the article titled “Claims for Telemedicine and Telehealth Services for HTW Plus,” published on this website on December 4, 2020.

As part of the continued response to COVID-19 (coronavirus), the Texas Health and Human Services Commission (HHSC) has extended the Medicaid telemedicine and telehealth services COVID-19 flexibilities to the same procedure codes covered under the new Healthy Texas Women Plus (HTW Plus) benefit package. These services can also be delivered by telephone (audio only) as needed and when appropriate.

The HTW Plus telemedicine and telehealth services will be effective for dates of service from September 1, 2020, through January 31, 2022. Telemedicine and telehealth flexibilities apply to the following procedure codes:

Description of Services

Procedure Codes

Psychotherapy

90832, 90834, 90837, 90847, 90853

Peer Specialist Services

H0038

Screening, Brief Intervention, and Referral to Treatment (SBIRT)

99408, H0049

Substance Use Disorder Services

H0001, H0004, H0005

To indicate the use of the telemedicine or telehealth modality and that remote delivery occurred, providers should use the 95 modifier when submitting claims. The telemedicine or telehealth services must also meet applicable state statutory and rule scope-of-practice requirements.

Providers can refer to the Texas Medicaid Provider Procedures Manual, Behavioral Health and Case Management Services Handbook for additional information about Texas Medicaid behavioral health benefits and the Telecommunication Services Handbook for additional information about Texas Medicaid telemedicine and telehealth services.

HTW Plus COVID-19 related flexibilities have been extended through January 31, 2022. HHSC is extending this flexibility because it includes teleservices that are being analyzed in alignment with House Bill 4.

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