Noticias de Proveedores

Medicaid—Benefit Update for Early Childhood Intervention—Effective September 1, 2017

Thursday, September 7, 2017

Effective for dates of service on or after September 1, 2017, Early Childhood Intervention (ECI) Services Comprehensive Care Program (CCP) benefits will be updated for Texas Medicaid.

New Benefit Information
The Medicaid medical policy describes the scope of the ECI Medicaid benefit, which may differ from the Physical, Occupational, or Speech Therapy (PT/OT/ST) Medicaid benefit.
 

Medicaid—New Definition of Individual Speech Therapy Encounter—Effective September 1, 2017

Thursday, September 7, 2017


The Texas Health and Human Services Commission (HHSC) is changing the definition of an individual speech therapy encounter.


Effective September 1, 2017, the definition of an individual speech therapy encounter is as follows:


An encounter for speech therapy individual treatment is defined as face-to-face time with the patient and/or caregiver for a length of time compliant with nationally recognized professional speech-language pathology standards for a typical session.

Medicaid—Physical, Occupational, and Speech Therapy Benefits for All Ages to Change—Effective September 1, 2017

Thursday, September 7, 2017

Effective for dates of service on or after September 1, 2017, physical therapy (PT), occupational therapy (OT), and speech therapy (ST) benefits for all ages will change for Texas Medicaid.


New Information
Changes to this medical benefit policy include the following:

  • Billing structure changes for PT, OT, and ST services
  • Procedure codes end-dating August 31, 2017
  • Prior authorization changes
  • Required modifiers
  • Claims filing changes
  • Clarification to benefits 

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