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0.0.0.3 TMHP Provider Relations
The TMHP Provider Relations Department comprises a staff of Austin- and field-based provider relations representatives whose goal is to serve the healthcare community by furnishing a variety of services and activities designed to inform and educate healthcare providers about Texas Medicaid Program activities and claim submission procedures.
Provider Relations activities include the following:
• Provider education through planned events. Provider representatives conduct a planned program of educational workshops, in-services, and training sessions designed to keep all actively-enrolled providers informed of the latest policies, claim processing procedures, and federal and state regulations affecting the Texas Medicaid Program.
•Problem identification and resolution. A staff of research coordinators is available to assist providers with clarification of Medicaid policies and assist with in-depth problem claim submission issues after initial inquiries are made with the TMHP Contact Center. Coordinators work closely with field-based regional representatives to coordinate the educational needs of the community.
•Relationship with professional healthcare organizations. To ensure that Texas associations that represent healthcare professions have up-to-date information about the requirements for participation in the Texas Medicaid Program, the Provider Relations Department maintains a work relationship with these organizations. Also, the Provider Relations Department participates in several events sponsored by Texas healthcare associations, such as conventions and conferences.
Visit www.tmhp.com for Provider Relations contact information, or call the TMHP Contact Center at 1-800-925-9126 for assistance.
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