IMPORTANT: Billing Notice to Behavioral Health Providers
Date: 06/25/24
Superior HealthPlan would like to remind providers that reimbursement of the following services is limited to certain diagnosis codes as outlined in the Texas Medicaid Provider Procedures Manual Behavioral Health and Case Management Services Handbook (PDF), and requires those diagnosis, to be placed in the PRIMARY (first) position. Failure to place the diagnosis code in the correct position may result in a denial of the claim.
Service Category | Procedure Codes |
Medication Training and Support | H0034 |
Day Program for Acute Needs | H2012 |
Skills Training and Development | H2014 |
Psychosocial Rehabilitation Services | H2017 |
Mental Health Targeted Case Management (MHTCM) | T1017 |
For questions, please contact your designated Account Manager. To access their contact information visit Find My Account Manager.