House Bill (HB) 4 Telecommunications Draft Policies Available for Comment

June 9, 2022

In alignment with House Bill (HB) 4 (87th Legislative Session, 2021), HHSC has developed draft policy changes to allow covered services via telemedicine, telehealth and audio-only delivery if clinically appropriate and cost effective. These policies are posted here for public comment. To learn more about the implementation of HB 4 and the analysis framework, visit the Medicaid and CHIP Services Teleservices webpage.

  • The following document includes a list of telemedicine and telehealth definitions that will be forthcoming in an update to the Telecommunication Services Handbook policy: Telemedicine and Telehealth Definitions.

In addition to HB 4 updates, HHSC has developed draft policy changes, in alignment with Senate Bill (SB) 1921 (87th Legislative Session, 2021), to allow non-local mental health authorities (also referred to as private providers) to deliver mental health targeted case management and mental health rehabilitation services to persons in fee-for-service Medicaid. The linked document includes the behavioral health benefits listed below that are under review.

Behavioral Health Services

  • Health and Behavior Assessment and Intervention (HBAI) Services policy
  • Screening, Brief Intervention and Referral to Treatment (SBIRT) Services policy
  • Outpatient Mental Health Services policy
  • Peer Specialist Services policy
  • Substance Use Disorder Services policy
  • Mental Health Targeted Case Management Services policy (including SB 1921 updates)
  • Mental Health Rehabilitation Services policy (including SB 1921 updates)
  • Physician Evaluation and Management (E/M) Services policy – Office and Outpatient Services
    • Public comment will be accepted until 5 p.m. on June 15.

Case Management for Children and Pregnant Women (CPW)

  • Case Management for Children and Pregnant Women (CPW) policy

Children's Services Handbook

Gynecological, Obstetrics and Family Planning Title XIX Services Handbook

Healthy Texas Women Program Handbook

Medical and Nursing Specialists, Physicians and Physician Assistants Handbook

  • Physician Evaluation and Management (E/M) Services policy

Physical Therapy, Occupational Therapy and Speech Therapy Services

The linked document includes the benefits listed below that are under review.

Physical Therapy, Occupational Therapy, and Speech Therapy Services and related Durable Medical Equipment services

  • Physical, Occupational and Speech Therapy-Children (Acute and Chronic) policy
  • Physical, Occupational and Speech Therapy-Adult/Clients Age 21 and Over policy
  • Mobility Aids - Home Health
  • Mobility Aids - CCP
  • Augmentative Communication Device (ACD) System - Home Health policy
    • Public comment will be accepted until 5 p.m. on June 15.

School Health and Related Services (SHARS) Handbook

  • School Health and Related Services (SHARS) policy

Telecommunication Services Handbook

The drafts are posted on the Medicaid Medical and Dental Policy webpage.

For questions, email the MCD Medical Benefits Policy Comment inbox.