In alignment with House Bill 4 (87th Legislative Session, 2021), HHSC has developed draft policy changes to allow covered services through telemedicine, telehealth and audio-only delivery if clinically appropriate and cost effective.
The HB 4 draft policies responses to public comments are linked below. To learn more about implementation of HB 4 and the analysis framework, visit the MCS Teleservices webpage.
Behavioral Health Services
In addition to HB 4 updates, HHSC has developed draft policy changes in alignment with Senate Bill 1921 (87th Legislative Session, 2021). These changes will 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.
- 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