Table of Contents
Introduction
1 TMHP and DSHS Contact Information
2 Provider Enrollment and Responsibilities
3 Client Benefits and Eligibility
4 Authorizations and Prior Authorizations
5 Claims Filing, Third-Party Resources, and Reimbursement
6 Remittance and Status (R&S) Reports
7 Appeals and Administrative Review
8 Advanced Practice Nurse (APN)
9 Ambulance
10 Augmentative Communication Devices (ACDs)
11 Blood Pressure Devices and Supplies
12 Certified Registered Nurse Anesthetist (CRNA)
13 Certified Respiratory Care Practitioner (CRCP)
14 Dental
15 Diabetic Equipment and Supplies
16 Diagnostic Radiology Services
17 Durable Medical Equipment (DME)
18 Expendable Medical Supplies
19 Hearing Services
20 Home Health (Skilled Nursing) Care
21 Hospice
22 Hospital
23 Laboratory Services
24 Medical Nutrition Services
25 Neurostimulator Devices and Supplies
26 Orthotic and Prosthetic Devices
27 Outpatient Behavioral Health
28 Physical Medicine and Rehabilitation
29 Physician
30 Radiation Therapy Services
31 Renal Dialysis
32 Respiratory Equipment and Supplies
33 Speech-Language Pathology (SLP) Services
34 Transportation of Deceased Clients
35 Vision Related Services
36 TMHP Electronic Data Interchange (EDI)
A Acronyms and Initialisms Dictionary
B Forms
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