TMPPM 2011 > Volume 1, General Information > Section 6: Claims Filing > Coding > Benefit Code

    
 

6.3.6 Benefit Code

A benefit code is an additional data element used to identify state programs.

Providers that participate in the following programs must use the associated benefit code when submitting claims and authorizations:

Program
Benefit Code

Comprehensive Care Program (CCP)

CCP

THSteps Medical

EP1

THSteps Dental

DE1

Family Planning Agencies*

FP3

Hearing Aid Dispensers

HA1

Maternity

MA1

County Indigent Health Care Program

CA1

Early Childhood Intervention (ECI) Providers

ECI

Tuberculosis (TB) Clinics

TB1

Texas Medicaid Program Home Health DME

DM2

Case management mental retardation (MR) providers

MH2

*Agencies only-Benefit codes should not be used for individual family planning providers.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2010 American Medical Association. All rights reserved.
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