Volume 1, General Information

Preliminary Information

Section 1 Provider Enrollment and Responsibilities

Section 2 Texas Medicaid Reimbursement

Section 3 TMHP Electronic Data Interchange (EDI)

Section 4 Client Eligibility

Section 5 Prior Authorization

Section 6 Claims Filing

Section 7 Appeals

Section 8 Managed Care

Appendix A State and Federal Offices Communication Guide

Appendix B Vendor Drug Program

Appendix C HIV/AIDS

Appendix D Medical Transportation

Appendix E Acronym Dictionary