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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 354MEDICAID HEALTH SERVICES
SUBCHAPTER MMENTAL HEALTH TARGETED CASE MANAGEMENT AND MENTAL HEALTH REHABILITATION
DIVISION 3MENTAL HEALTH REHABILITATION
RULE §354.2717Exclusions

(a) Mental health rehabilitative services do not include:

  (1) job task-specific vocational services;

  (2) educational services;

  (3) room and board residential costs;

  (4) services that are an integral and inseparable part of another Medicaid-reimbursable service, including targeted case management services, residential rehabilitative behavioral health services, institutional, and waiver services;

  (5) services that are covered elsewhere in the state Medicaid plan;

  (6) respite services; or

  (7) family support services.

(b) Texas Medicaid does not reimburse for mental health rehabilitative services provided before the establishment of a diagnosis of mental illness and the authorization of services.


Source Note: The provisions of this §354.2717 adopted to be effective October 17, 2018, 43 TexReg 6819

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