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4.3.2.5 Referral to Other Providers
Traditional Medicaid clients in limited status may be referred by their designated provider to other providers. For the referral or second provider to be paid, the provider identifier of the referring designated provider must be in Block 17 or 17a of the CMS-1500 claim form. Claims submitted electronically (see "TMHP Electronic Claims Submission" ) must have the six-digit Medicare core number of the referring designated provider in the Referring Provider Field. Consult with your vendor for the location of this field in your electronic claims format.
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