If you are applying for an agreement through an intermediate care provider, send a copy of the TMHP notification letter to: Email questions about enrolling providers in provider.relations@tmhp.com. Contractors may not spend more than 15% of their combined amounts of fee-for-service and HHSC categorical contract for female sterilizations. A derogation from this Directive may be granted on a case-by-case basis. Contactez-famplan@hhsc.state.tx.us for more information. Authorized sterilization codes and descriptions can be found in Appendix I, Refundable Codes. LTSS MCO providers can obtain an application by submitting an application to MCO_LTSS_Provider_Re-Enrollment@hhsc.state.tx.us. The application must include the supplier`s business name, tax identification number, taxonomy and national supplier identifier. HHSC FPP contractors must register with TMHP as a Medicaid Provider (Title XIX). The Contractor must complete the application forms required for Medicaid Provider Registration and enter into a written agreement with HHSC, the only Medicaid agency in the state. TMHP Provider Enrollment provides these forms.

Note: Community care contracts for seniors and persons with disabilities for adult foster care, emergency response services, meals delivered to homes, and residential care are not Medicaid contracts. For more information on the Medicaid provider registration process for LTC billing only, please click here. Each provider must subscribe to hhS email updates via the link provided on the HHS website and be notified of the content of the updates via email. The link to subscribe to receive HHS email notifications can be found at the top of each provider`s website. All HHSC PPF contractors are strongly advised to file claims electronically. TMHP provides specifications for electronic claim formats. These specifications are available on the TMHP Supplier Portal and link the paper claim statement in electronic format. Contractors can use their own claims filing system, vendor software, or TexMedConnect (a free web-based claims tool available on TMHP`s website) to file claims electronically. For more information on electronic claims submission, contractors may contact tmHP`s Electronic Data Interchange (EDI) Helpline at 512-514-4150 or 888-863-3638. For more information, visit the TMHP website.

An extension of the deadline for managed care providers serving managed care members (“MCO LTSS providers”) who must register through the Medicaid MCO LTSS provider registration process has been extended to February 1, 2019. Title XIX does not allow suppliers to collect assessed contributions. HHSC FPP contractors must reimburse all co-payments that have been levied if the individual services have been billed under Title XIX. Click the bar below that applies to your entity to view more information about the Texas Medicaid provider registration process. In order to have sufficient time to process applications, MCO LTS providers are strongly advised to submit their applications as soon as possible. LTC providers who have not yet started or completed the registration process and are still billing CMOs will receive the following letter and will need to take immediate steps to meet the February 1, 2019 registration deadline. Health and Human Services (HHS) has 1 standard contract and a registration application for all community service providers. The application package consists of a number of different forms and required documents. R&S.m report reconciliation assistance can be provided through the TMHP Contact Center Monday through Friday from 7:.m a.m. to 7:.m .m cST at 800-925-9126.

A TMHP Supplier Relations Representative is also available for these specific questions, as a representative can be categorized by region on tmHP`s website. Note: The obligation to perform the supplier number applies to all tenders under Title XIX. The registration process for contract applications takes approximately. 60 days from the date your complete application is received by HHS. It is crucial that you document all the information you need completely and accurately. The application process will be delayed if your application is returned for correction. Your request will be processed in the order received by HHS. The effective date of the contract will be determined by HHS, but no earlier than the first day of the month following the month in which the application was completed and executed in its entirety. Some regions and programs have long lists of interests.

The contract with HHS does not guarantee that a supplier agency will receive recommendations. . It is HhS`s policy to encourage all eligible minority and female companies to obtain certification as a historically underutilized company (HUB). HUB certification is free and registration is valid for a period of four years. For more information about HUB certification, visit the HUB Program website. Pharmacies wishing to participate in Texas Medicaid must register before offering outpatient prescribing services or participating in a managed care network. For more information on services, eligibility criteria, notices, laws and rules, and provider manuals, please click on the programs listed on the Long-Term Care Provider Portal website. Up to 50% of HHSC FPP funds can be paid to contractors via a voucher system, as costs are incurred during the term of the contract. Program revenues must be spent before categorical funds are requested as part of the bond process. Contractors must continue to submit vouchers on a monthly basis, even if the program income is equal to or greater than the program costs or if the contractual reimbursement limit has been reached. If program expenses exceed program revenues, the monthly voucher will result in a payment. .