Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 354 - MEDICAID HEALTH SERVICES
Subchapter A - PURCHASED HEALTH SERVICES
Division 29 - LICENSED PROFESSIONAL COUNSELORS, LICENSED CLINICAL SOCIAL WORKERS, AND LICENSED MARRIAGE AND FAMILY THERAPISTS
Section 354.1381 - Benefits and Limitations
Current through Reg. 49, No. 38; September 20, 2024
(a) Counseling for emotional disorders or conditions provided by licensed professional counselors (LPCs), licensed clinical social workers (LCSWs), and licensed marriage and family therapists (LMFTs) as allowed by each respective licensing law are covered services.
(b) To be considered payable, the services must be reasonable and medically necessary as determined by the Health and Human Services Commission or its designee.
(c) LPCs, LCSWs, or LMFTs who are employed by or remunerated by another provider may not bill the Texas Medical Assistance Program directly for counseling services if that billing would result in duplicate payment for the same services.
