Texas Medicaid (TMHP)

MedicaidTX

ABA billing requirements · Source: Texas Medicaid TMHP — ABA Policy Manual

High confidence

Verified 2026-03-01

Authorization Requirements

Requires prior auth Yes

Initial auth duration6 months

Renewal auth duration6 months

Submission deadline30 days

Unit tracking cadenceTotal

Requires FBA Yes

Diagnostic eval validity24 months

Re-eval cadenceEvery 6 months

State licensure requiredLBAS (TX State Board of Examiners of Psychologists) — required for Medicaid billing

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsDiagnosis, FBA, Baseline, Goals, Methods, Parent training

Progress summary cadenceEvery 6 months

ABA managed through STAR Health (Foster Care) and STAR Kids MCOs. Magellan manages BH for some MCOs. Preservice review required for all ABA.

CPT rules require a free account

View H-codes, modifiers, unit limits, and billing restrictions for Texas Medicaid (TMHP).

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Data last verified: 2026-03-01 · Confidence: High · See our methodology