Prior authorization is no longer required for Mental Health Targeted Case Management and Mental Health Rehabilitative Services
Date: August 31, 2022 Attention: Local Mental Health Authority, Behavioral Health Providers Effective date: August 22, 2022Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.
Call to action: Texas Children’s Health Plan (TCHP) would like to inform network providers that beginning August 22, 2022, a prior authorization is no longer required for Mental Health Targeted Case Management (MHTCM) and Mental Health Rehabilitative Services.
How this impacts providers: This direction applies to the following services:
Mental Health Targeted Case Management and Mental Health Rehabilitative Services
For Mental Health Rehabilitation Services
Service Category
Procedure Codes
Modifiers
Day Program for Acute Needs
H2012
Medication Training and Support
H0034
HQ: group services for adults
HA/HQ: group services for child/youth
Crisis Intervention
H2011
HA: child/youth
Skills Training and Development
H2014
HQ: group services for adults
HA: Individual services for child/youth
HA/HQ: group services for child/youth
Psychosocial Rehabilitation Services
H2017
TD: individual services provided by RN
HQ: group services
HQ/TD: group services provided by RN
ET: individual crisis services
For MHTCM Procedure Code T1017 and the appropriate modifier for MHTCM:
