Mental Retardation Service Coordination
Mental Retardation Authorities (MRAs) provide MR Service Coordination to individuals in the DADS MR priority population in their local service area. MR Service Coordination funded by Medicaid is referred to as MR Targeted Case Management (TCM). Information regarding the Mental Retardation Service Coordination program can be found on the Texas Department of Aging and Disability Services (DADS) website.
Note: Rate Analysis staff can assist you with questions concerning only payment rates and cost reporting for the specified program.
If you have questions regarding Mental Retardation Service Coordination billing issues, please call the TMHP LTC Helpdesk at 1-800-727-5436 or 1-800-626-4117, Option #1.
Methodology / Rules
Cost Determination Process Rules applicable to the Mental Retardation Service Coordination Program are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter A, Rules 101-111.
The Mental Retardation Service Coordination (program-specific) Cost-Finding Methodology is located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter F, Rule 746.
The fee schedules and any periodic adjustment(s) to the fee schedules are published in banner messages contained in provider Remittance and Status (R&S) reports, Medicaid Bulletin articles, web postings, provider manual, fee schedules or other provider notification.
Payment Rate Information
Payment rate information is published by procedure code in the applicable Texas Medicaid Fee Schedule located on the Texas Medicaid & Healthcare Partnership (TMHP) website (see Fee Schedules).
|Service Coordination - Comprehensive encounter (Encounter - Type A)||T1017||$92.80||Encounter||09/01/2011|
|Service Coordination - Follow-up encounter (Encounter - Type B)||T1017||KX||$30.00||Encounter||09/01/2011|
|Service Coordination (adult or child)||G9012||$0.00||Once per calendar month||09/01/2011|
|Service Coordination (adult or child)||G9012||$182.80||Once per calendar month||06/01/2010|
2012 Cost Report information - coming soon
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Updated: May 13, 2013