Additional Procedure Code and Modifier Combinations will be added to the Fee Schedules for Some Mental Health Procedure Codes for Texas Medicaid Information posted November 26, 2014 Note: This article applies to claims submitted to TMHP for processing. For claims processed by a Medicaid managed care organization (MCO), providers must refer to the MCO for information about benefits, limitations, prior authorization, and reimbursement. Effective December 1, 2014, TMHP will display additional procedure code and modifier combinations on the Online Fee Look-up (OFL) for some mental health procedure codes. Providers will be able to view the pricing for several procedure codes and modifier combinations that were not previously visible on the fee schedules. The static fee schedules will continue to be updated quarterly. Providers will also be able to view these additions on the Static Fee Schedule after January 15, 2015. The following procedure codes will be visible December 1, 2014 Mental Health Procedure Codes updated on the OFL Note: These additions to the OFL will not affect claims processing. For more information, call the TMHP Contact Center at 1-800-925-9126. Mental Health Procedure Codes Type of Service (TOS)* Procedure Code 1 H0034 1 H0034 1 H2011 1 H2011 1 H2014 1 H2014 1 Modifier 1 Modifier 2 Age Range Medicaid Fee Effective 12-1-2014 Adjusted Fee Percentage Adjusted Fee 21-999 $13.53 0.00 $13.53 3-20 $13.53 0.00 $13.53 21-999 $36.89 0.00 $36.89 3-20 $36.89 0.00 $36.89 21-999 $25.02 0.00 $25.02 HA 3-20 $25.02 0.00 $25.02 H2017 TD 18-999 $26.93 0.00 $26.93 1 H2017 ET 18-999 $26.93 0.00 $26.93 1 H2017 HQ 18-999 $5.39 0.00 $5.39 TOS*: 1 = Medical Services HA HA TD
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