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TMHP Announces September 1, 2017, PT, OT, and ST Benefit Changes.

By J.R. Top posted Jul 03,2017 12:41 PM

  

The Texas Medicaid Healthcare Partnership (TMHP) released an announcement concerning Physical, Occupational, and Speech Therapy Benefits for All Ages to Change for Texas Medicaid September 1, 2017.

The announcement can be found at the following link:
http://www.tmhp.com/News_Items/2017/06-June/06-30-17%20Physical,%20Occupational,%20and%20Speech%20Therapy%20Benefits%20for%20All%20Ages%20to%20Change%20for%20Texas%20Medicai.pdf

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.

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.

The notification describes changes to the PT, OT, and ST Medicaid benefit, which may be different from the Early Childhood Intervention (ECI) or school heath and related services (SHARS) Medicaid benefit. TMHP will release a future notification will be released to describe changes to the ECI program.

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