Overview
Local Authorities (LAs) provide Service Coordination to Individuals with an Intellectual and Developmental Disability (MH/IDD) in their local service area. Information regarding the IDD Service Coordination program can be found on the Texas Department of Aging and Disability Services (DADS) website.
Related Information
Medicaid Administrative Claiming (MAC)
Time Study - RMTS for Medicaid Administrative Claiming
Cost Reporting Information
MEI Cost Reporting Information
Methodology / Rules
Cost Determination Process Rules applicable to the IDD Service Coordination Program are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter A, Rules 101-111.
The IDD 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.
Program Rules for IDD Service Coordination are located at Title 40 of the Texas Administrative Code, Part 1, Chapter 2, Subchapter L.
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 | Procedure Code | Modifier | Rate | Unit | Effective |
---|---|---|---|---|---|
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 |