House Bill (HB) 4 Telecommunications Draft Policies Available for Comment The Texas Health and Human Services Commission has opened the draft of HB 4 Telecommunications policies for public comment. 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 implementation of HB 4 and the analysis framework, please go to the MCS 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. Behavioral Health Services In addition to HB4 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. 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 6/15/2022 Case Management for Children and Pregnant Women (CPW) Case Management for Children and Pregnant Women (CPW) policy Children's Services Handbook Early Childhood Intervention (ECI) Services policy Public comment will be accepted until 6/15/2022 Medical Nutrition Counseling Services (CCP) policy THSteps Medical policy Public comment will be accepted until 6/15/2022 Gynecological, Obstetrics, and Family Planning Title XIX Services Handbook Obstetric Services policy Gynecological Health Services policy Healthy Texas Women Program Handbook Healthy Texas Women policy Medical and Nursing Specialist, Physicians and Physician Assistants Handbook Physician Evaluation and Management (E/M) Services policy Physical Therapy, Occupational Therapy, and Speech Therapy Services Handbook 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 Public comment will be accepted until 5 p.m. on 6/15/2022 School Health and Related Services (SHARS) Handbook School Health and Related Services (SHARS) policy Telecommunication Services Handbook Telemedical (physician-delivered) Services policy Telehealth (non-physician delivered) Services policy The draft is posted on the Medicaid Medical and Dental Policy webpage. For questions, email the MCD Medical Benefits Policy Comment inbox

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