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The TMHP Contact Center provides assistance to providers and clients of the Long Term Care Program. For questions about LTC claims, verification, and nursing facility forms, call 800-626-4117 or 800-727-5436.
You can verify client eligibility using the Automated Inquiry System (AIS), the Interactive Voice Response (IVR), or through a representative by calling the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.
All providers will use the Provider Enrollment and Management System (PEMS) to complete the enrollment process. Resources for enrollment: TMHP provider enrollment representative at 800-925-9126, Option 3
Texas Medicaid & Healthcare Partnership (TMHP) handles claims for fee-for-service Medicaid providers. For technical support, call 888-863-3638 or visit the provider services contacts by MCO and DMO.
Find providers by health plan, provider type, zip code, or NPI. For urgent care, telecommunication care, or managed care, visit your health plan's website or call the phone number.
Learn how to find a Medicaid provider in Texas using two search methods: online or by phone. Contact TMHP for policy education, claims filing, eligibility inquiry and more.
TMHP provides resources and support for Texas Medicaid providers. Access TexMedConnect, prior authorization, provider manual, enrollment, and more.
Find the phone numbers for various Medicaid and CSHCN Services programs, such as Texas Health Steps, HIPP/IPPA, Personal Care Services, and Medical Transportation. Learn how to report billing issues, changes to your case, and complaints to TMHP.
Find the phone number and email address for various Medicaid programs and services in Texas. For TMHP provider phone number, call (800) 925-9126 or visit www.tmhp.com.
For questions about coverage, providers can call TMHP at 800–846–7470 or visit their website. Information is also available in the Children’s Services Handbook of the 2010 Texas Medicaid Provider Procedures Manual and applicable bi–monthly bulletins. For managed care patients, providers should contact the appropriate health plan to ...