Texas Medicaid Manual 2015
The Texas Medicaid Provider Procedures Manual is the providers’ principal source of information about Texas Medicaid. The manual is regularly updated to reflect the most recent policy and procedure changes. Updates are generally available the month following the effective date of the change. For advanced notification of upcoming changes, providers should monitor banner messages, which appear at the beginning of their Remittance and Status (R&S) Reports, and the corresponding website articles published on this website. – Contains information about the provider manual update schedule and how to use this online manual.
Updated June 29, 2018 including ICD-10 changes. Contains all policy changes through July 1, 2018. For more recent changes, refer to news articles on this website. Complete book Individual Chapters - changes to manual arranged by chapter - completed claim forms with sample data.
Mcna Texas Medicaid Manual
On this page: Health Care Providers Provider Application To enroll in the CSHCN Services Program, go to the web page of TMHP. You can enroll online or print out the paper application form to complete and return to TMHP.
If you have questions, call your local area TMHP Provider Relations representative. To find your area representative, go to the web page or call 1-800-568-2413. Physician/Dentist Assessment The Physician/Dentist Assessment Form (PAF) is a key part of the application process for a family to apply for benefits from the CSHCN Services Program:.
Form #T-4 Provider Manual In 2011 the became an online document that is updated monthly. It is available on the Texas Medicaid and Healthcare Partnership (TMHP) website as a complete manual or as individual chapters. Provider Bulletins Before July 2011, the CSHCN Services Program Provider Bulletin was published four times a year to update the information in the CSHCN Services Program Provider Manual. Now that the provider manual is updated on a regular basis, the bulletin is no longer needed. The TMHP website has an archive of past issues of the.
Contract Providers The list of contract providers is now a Web page:. Links to the agendas, minutes, and reference materials for the Medical Home Workgroup are on the webpage.
Texas Medicaid Manual 2010
(FSS) Providers If you are interested in being a provider who provides respite, home modification, home inspections, or vehicle modifications, your enrollment is handled directly through the CSHCN Services Program. You may call 1-800-252-8023 and ask for provider enrollment or click on the links below to obtain the CSHCN Services Program Family Support Services (FSS) Provider Enrollment Application and Agreement and the FSS Provider Manual.
The following forms are required for all FSS Providers:. Form # EF07-12827 CSHCN Services Program (402 KB, PDF). Publication # 07-12835 CSHCN Services Program (245 KB, PDF). Form # EF29-12374 (23 KB, Word). Form # EF29-12389 (4 KB, Word) The following form is also required for Home Health Agencies only:. Form #HCFA-1513 (236 KB, PDF) The is more user-friendly. The following is also required for Home Inspectors only:.
Copy of Real Estate Inspector License through the Texas Real Estate Commission. CSHCN Services Program Inquiry Line: 1-800-252-8023 CSHCN Services Program Specialty Health Care Services, MC 1938 P.O. Box 149347 Austin, TX 512-776-7355 - Local 512-776-7417 - Fax.