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The Texas Medicaid Provider Procedures Manual was updated on October 31, 2024, and contains all policy changes through November 1, 2024. The manual is available in both PDF and HTML formats. Claim form examples referenced in the manual can be found on the claim form examples page.
Texas Medicaid Provider Procedures Manual — November 2024. Section 1: Provider Enrollment and Responsibilities. Section 2: Texas Medicaid Fee-for-Service Reimbursement. Appendix A: State, Federal, and TMHP Contact Information. Behavioral Health and Case Management Services Handbook.
Welcome: Texas Medicaid Provider Procedures Manual This manual is a comprehensive guide for Texas Medicaid providers. It contains information about Texas Medicaid fee-for-service benefits, policies, and procedures including medical, dental, and children’s services benefits.
Provider Procedures Manual The Texas Medicaid & Healthcare Partnership (TMHP) is the claims administrator for Texas Medicaid under contract with the Texas Health and Human Services Commission.
This manual is a comprehensive guide for Texas Medicaid providers. It contains information about Texas Medicaid fee-for-service benefits, policies, and procedures including medical, dental, and children’s services benefits.
For more detailed information about Medicaid services, policies, and claims, refer to the Texas Medicaid Provider Procedures Manual. Helpful Links. To learn more about Texas Medicaid, visit the following resources and websites: Texas Medicaid Quick Reference Guide; Health and Human Services Commission (HHSC) Department of State Health Services ...
The TMPPM archives contain the complete Texas Medicaid Provider Procedures Manual that was published each month of the specified year. The changes that were made for that month are marked in red.
Sign in to your TMHP account for secure access to your health plan information and services.
CSHCN Services Program Provider Manual. The CSHCN Services Program Provider Manual was updated on October 15, 2024, and contains all policy changes through October 1, 2024. The manual is available in both PDF and HTML formats. See the release notes for detailed information on the changes.
Providers who have an account on TMHP.com can log into their accounts to search for the fees that apply specifically to them. All other users can search for fees by provider type and specialty. To use a general fee schedule, Medicaid providers can click Static Fee Schedules.