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Revision 06-0; Effective May 22, 2006
The Texas Health and Human Services Commission (HHSC) will pay for authorized services provided and billed in compliance with Chapter 62.
HHSC will reimburse the Transition Assistance Services (TAS) provider agency a one-time fee and the invoice amount for delivered TAS. The TAS provider agency must submit a claim for reimbursement to HHSC after it has contacted the individual to confirm that the authorized TAS services were delivered. A separate claim may be submitted for each authorized and delivered item or service; however, the TAS provider agency is only entitled to one TAS fee per individual.
The following service codes and procedures (bill) codes have been established for TAS:
| Description | Service Code | Procedure Code Qualifier | Procedure Code | Rate |
|---|---|---|---|---|
| CBA TAS | 53 | HC | T2038 | $1.00 |
| CLASS TAS | 53 | HC | T2038 | $1.00 |
| CWP TAS | 53 | HC | T2038 | $1.00 |
| DBMD TAS | 53 | HC | T2038 | $1.00 |
| MDCP TAS | 53 | HC | T2038 | $1.00 |
The TAS agency must enter the total dollar amount of the TAS purchases in the "number of units" and $1.00 in the "unit rate" field.
| Description | Service Code | Procedure Code Qualifier | Procedure Code | Unit Rate |
|---|---|---|---|---|
| CBA TAS Fee | 53A | ZZ | G0239 | $156.00 |
| CLASS TAS Fee | 53A | ZZ | G0239 | $156.00 |
| CWP TAS Fee | 53A | ZZ | G0239 | $156.00 |
| DBMD TAS Fee | 53A | ZZ | G0239 | $156.00 |
| MDCP TAS Fee | 53A | ZZ | G0239 | $156.00 |
The TAS agency must enter a "1" in the "number of units" field and the effective TAS fee in the "unit rate" field.