Texas: Medicaid and CHIP Behavioral Health Expenditures

NOTES: Drug claims and acute care claims are based on the date of service. Behavioral Health expenditures for the acute care claims and encounters are based on a primary diagnosis code of 290-314.99. Psychotropic drug claims were identified as filled prescriptions with an AHFS codes beginning with 2812, 2816, 2820, 2824, 2828, or 2892. CHIP Perinate clients are included within all CHIP Behavioral Health Expenditures and are defined as follows: Risk Group 305: Risk Group 306: Long term supports and services claims (claims with Hdr_Care_Type='L') were excluded from the analysis. Prepared by Data Quality & Dissemination, Strategic Decision Support, HHSC. November 2016 (vp) Source: TX Medicaid Vendor Drug database, HHSC; 8 Month Eligibility database, HHSC; CHIP database, HHSC; CHIP DSP database, HHSC; AHQP Claims Universe, TMHP; Enc_Best Picture Universe, TMHP. Filename: TX Medicaid Behavioral Health Expenditures SFY15_primdiag_final.xlsx