2011 TMPPM website

<h2 class="pTOCTitle">Table of Contents</h2> <p class="pTOC1"><a href="2011TMPPM-01-1.html" target="2011 TMPPM website_frame">Volume 1, General Information</a></p> <p class="pTOC2"><a href="2011TMPPM-02-01.html" target="2011 TMPPM website_frame">Preliminary Information</a></p> <p class="pTOC3"><a href="2011TMPPM-02-02.html" target="2011 TMPPM website_frame">Welcome: 2011 Texas Medicaid Provider Procedures Manual</a></p> <p class="pTOC3"><a href="2011TMPPM-02-04.html" target="2011 TMPPM website_frame">Contents</a></p> <p class="pTOC3"><a href="2011TMPPM-02-06.html" target="2011 TMPPM website_frame">Introduction</a></p> <p class="pTOC3"><a href="2011TMPPM-02-08.html" target="2011 TMPPM website_frame">TMHP Telephone and Address Guide</a></p> <p class="pTOC2"><a href="2011TMPPM-03-01.html" target="2011 TMPPM website_frame"> Section 1: Provider Enrollment and Responsibilities</a></p> <p class="pTOC2"><a href="2011TMPPM-04-01.html" target="2011 TMPPM website_frame">Section 2: Texas Medicaid Reimbursement</a></p> <p class="pTOC2"><a href="2011TMPPM-05-01.html" target="2011 TMPPM website_frame">Section 3: TMHP Electronic Data Interchange (EDI)</a></p> <p class="pTOC2"><a href="2011TMPPM-06-01.html" target="2011 TMPPM website_frame">Section 4: Client Eligibility</a></p> <p class="pTOC2"><a href="2011TMPPM-07-01.html" target="2011 TMPPM website_frame">Section 5: Prior Authorization</a></p> <p class="pTOC2"><a href="2011TMPPM-08-001.html" target="2011 TMPPM website_frame">Section 6: Claims Filing</a></p> <p class="pTOC2"><a href="2011TMPPM-09-01.html" target="2011 TMPPM website_frame">Section 7: Appeals</a></p> <p class="pTOC2"><a href="2011TMPPM-10-001.html" target="2011 TMPPM website_frame">Section 8: Managed Care</a></p> <p class="pTOC2"><a href="2011TMPPM-11-01.html" target="2011 TMPPM website_frame">Appendix A: State and Federal Offices Communication Guide</a></p> <p class="pTOC2"><a href="2011TMPPM-12-01.html" target="2011 TMPPM website_frame">Appendix B: Vendor Drug Program</a></p> <p class="pTOC2"><a href="2011TMPPM-13-01.html" target="2011 TMPPM website_frame">Appendix C: HIV/AIDS</a></p> <p class="pTOC2"><a href="2011TMPPM-14-1.html" target="2011 TMPPM website_frame">Appendix D: Medical Transportation</a></p> <p class="pTOC2"><a href="2011TMPPM-15-1.html" target="2011 TMPPM website_frame">Appendix E: Acronym Dictionary</a></p> <p class="pTOC1"><a href="2011TMPPM-16-1.html" target="2011 TMPPM website_frame">Volume 2, Provider Handbooks</a></p> <p class="pTOC2"><a href="2011TMPPM-17-01.html" target="2011 TMPPM website_frame">Ambulance Services Handbook</a></p> <p class="pTOC3"><a href="2011TMPPM-17-02.html#wp1836148" target="2011 TMPPM website_frame">1. General Information</a></p> <p class="pTOC3"><a href="2011TMPPM-17-03.html" target="2011 TMPPM website_frame">2. Ambulance Services</a></p> <p class="pTOC3"><a href="2011TMPPM-17-45.html" target="2011 TMPPM website_frame">3. Forms</a></p> <p class="pTOC3"><a href="2011TMPPM-17-46.html" target="2011 TMPPM website_frame">4. Claim Form Examples</a></p> <p class="pTOC2"><a href="2011TMPPM-18-001.html" target="2011 TMPPM website_frame">Behavioral Health, Rehabilitation, and Case Management Services Handbook</a></p> <p class="pTOC3"><a href="2011TMPPM-18-002.html#wp1769234" target="2011 TMPPM website_frame">1. General Information</a></p> <p class="pTOC3"><a href="2011TMPPM-18-003.html" target="2011 TMPPM website_frame">2. Blind Children's Vocational Discovery and Development Program (BCVDDP)</a></p> <p class="pTOC3"><a href="2011TMPPM-18-010.html" target="2011 TMPPM website_frame">3. Case Management for Children and Pregnant Women (CPW)</a></p> <p class="pTOC3"><a href="2011TMPPM-18-021.html" target="2011 TMPPM website_frame">4. Early Childhood Intervention (ECI) Targeted Case Management Services</a></p> <p class="pTOC3"><a href="2011TMPPM-18-030.html" target="2011 TMPPM website_frame">5. Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), and Licensed Professional Counselor (LPC)</a></p> <p class="pTOC3"><a href="2011TMPPM-18-046.html" target="2011 TMPPM website_frame">6. Mental Health Rehabilitation, Mental Health Case Management, and Mental Retardation Service Coordination</a></p> <p class="pTOC3"><a href="2011TMPPM-18-055.html" target="2011 TMPPM website_frame">7. Physician, Psychologist, and Licensed Psychological Associate (LPA) Providers</a></p> <p class="pTOC3"><a href="2011TMPPM-18-103.html" target="2011 TMPPM website_frame">8. Screening, Brief Intervention, and Referral to Treatment (SBIRT)</a></p> <p class="pTOC3"><a href="2011TMPPM-18-111.html" target="2011 TMPPM website_frame">9. Substance Use Disorder (SUD) Services (Abuse and Dependence)</a></p> <p class="pTOC3"><a href="2011TMPPM-18-142.html" target="2011 TMPPM website_frame">10. Claims Resources</a></p> <p class="pTOC3"><a href="2011TMPPM-18-143.html" target="2011 TMPPM website_frame">11. Contact TMHP</a></p> <p class="pTOC3"><a href="2011TMPPM-18-144.html" target="2011 TMPPM website_frame">12. Forms</a></p> <p class="pTOC3"><a href="2011TMPPM-18-151.html" target="2011 TMPPM website_frame">13. Claim Form Examples</a></p> <p class="pTOC2"><a href="2011TMPPM-19-001.html" target="2011 TMPPM website_frame">Children's Services Handbook</a></p> <p class="pTOC3"><a href="2011TMPPM-19-002.html#wp2101032" target="2011 TMPPM website_frame">1. General Information</a></p> <p class="pTOC3"><a href="2011TMPPM-19-004.html" target="2011 TMPPM website_frame">2. Medicaid Children's Services Comprehensive Care Program (CCP)</a></p> <p class="pTOC3"><a href="2011TMPPM-19-205.html" target="2011 TMPPM website_frame">3. School Health and Related Services (SHARS)</a></p> <p class="pTOC3"><a href="2011TMPPM-19-245.html" target="2011 TMPPM website_frame">4. Texas Health Steps (THSteps) Dental</a></p> <p class="pTOC3"><a href="2011TMPPM-19-316.html" target="2011 TMPPM website_frame">5. THSteps Medical</a></p> <p class="pTOC3"><a href="2011TMPPM-19-367.html" target="2011 TMPPM website_frame">6. Claims Resources</a></p> <p class="pTOC3"><a href="2011TMPPM-19-368.html" target="2011 TMPPM website_frame">7. Contact TMHP</a></p> <p class="pTOC3"><a href="2011TMPPM-19-376.html" target="2011 TMPPM website_frame">8. Forms</a></p> <p class="pTOC3"><a href="2011TMPPM-19-397.html" target="2011 TMPPM website_frame">9. Claim Form Examples</a></p> <p class="pTOC3"><a href="2011TMPPM-19-412.html" target="2011 TMPPM website_frame">10. Appendices</a></p> <p class="pTOC3"><a href="2011TMPPM-20-01.html" target="2011 TMPPM website_frame">Appendix A: THSteps Forms</a></p> <p class="pTOC3"><a href="2011TMPPM-21-01.html" target="2011 TMPPM website_frame">Appendix B: Immunizations</a></p> <p class="pTOC3"><a href="2011TMPPM-22-01.html" target="2011 TMPPM website_frame">Appendix C: Lead Screening</a></p> <p class="pTOC3"><a href="2011TMPPM-23-01.html" target="2011 TMPPM website_frame">Appendix D: Texas Health Steps Statutory State Requirements</a></p> <p class="pTOC3"><a href="2011TMPPM-24-1.html" target="2011 TMPPM website_frame">Appendix E: Hearing Screening Information</a></p> <p class="pTOC3"><a href="2011TMPPM-25-1.html" target="2011 TMPPM website_frame">Appendix F: THSteps Quick Reference Guide</a></p> <p class="pTOC3"><a href="2011TMPPM-26-1.html" target="2011 TMPPM website_frame">Appendix G: THSteps Dental Guidelines</a></p> <p class="pTOC2"><a href="2011TMPPM-27-001.html" target="2011 TMPPM website_frame">Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook</a></p> <p class="pTOC3"><a href="2011TMPPM-27-002.html#wp1983589" target="2011 TMPPM website_frame">1. General Information</a></p> <p class="pTOC3"><a href="2011TMPPM-27-003.html" target="2011 TMPPM website_frame">2. Texas Medicaid (Title XIX) Home Health Services</a></p> <p class="pTOC3"><a href="2011TMPPM-27-243.html" target="2011 TMPPM website_frame">3. Claims Resources</a></p> <p class="pTOC3"><a href="2011TMPPM-27-244.html" target="2011 TMPPM website_frame">4. Contact TMHP</a></p> <p class="pTOC3"><a href="2011TMPPM-27-245.html" target="2011 TMPPM website_frame">5. Forms</a></p> <p class="pTOC3"><a href="2011TMPPM-27-261.html" target="2011 TMPPM website_frame">6. Claim Form Examples</a></p> <p class="pTOC2"><a href="2011TMPPM-28-001.html" target="2011 TMPPM website_frame">Gynecological and Reproductive Health, Obstetrics, and Family Planning Services Handbook</a></p> <p class="pTOC3"><a href="2011TMPPM-28-002.html#wp1769234" target="2011 TMPPM website_frame">1. General Information</a></p> <p class="pTOC3"><a href="2011TMPPM-28-003.html" target="2011 TMPPM website_frame">2. Medicaid Title XIX family planning services</a></p> <p class="pTOC3"><a href="2011TMPPM-28-040.html" target="2011 TMPPM website_frame">3. Women's Health Program (Title XIX Family Planning)</a></p> <p class="pTOC3"><a href="2011TMPPM-28-073.html" target="2011 TMPPM website_frame">4. Department of State Health Services (DSHS) Titles V, X, and XX Family Planning Services</a></p> <p class="pTOC3"><a href="2011TMPPM-28-108.html" target="2011 TMPPM website_frame">5. Gynecological Health Services</a></p> <p class="pTOC3"><a href="2011TMPPM-28-126.html" target="2011 TMPPM website_frame">6. Claims Resources</a></p> <p class="pTOC3"><a href="2011TMPPM-28-127.html" target="2011 TMPPM website_frame">7. Contact TMHP</a></p> <p class="pTOC3"><a href="2011TMPPM-28-128.html" target="2011 TMPPM website_frame">8. Forms</a></p> <p class="pTOC3"><a href="2011TMPPM-28-134.html" target="2011 TMPPM website_frame">9. Claim Form Examples</a></p> <p class="pTOC2"><a href="2011TMPPM-29-001.html" target="2011 TMPPM website_frame">Hospital Services Handbook</a></p> <p class="pTOC3"><a href="2011TMPPM-29-002.html#wp2056322" target="2011 TMPPM website_frame">1. General Information</a></p> <p class="pTOC3"><a href="2011TMPPM-29-004.html" target="2011 TMPPM website_frame">2. Hospital (Medical/Surgical Acute Care Facility)</a></p> <p class="pTOC3"><a href="2011TMPPM-29-095.html" target="2011 TMPPM website_frame">3. Military Hospitals</a></p> <p class="pTOC3"><a href="2011TMPPM-29-102.html" target="2011 TMPPM website_frame">4. Claims Resources</a></p> <p class="pTOC3"><a href="2011TMPPM-29-103.html" target="2011 TMPPM website_frame">5. Contact TMHP</a></p> <p class="pTOC3"><a href="2011TMPPM-29-104.html" target="2011 TMPPM website_frame">6. Forms</a></p> <p class="pTOC3"><a href="2011TMPPM-29-113.html" target="2011 TMPPM website_frame">7. Claim Form Examples</a></p> <p class="pTOC2"><a href="2011TMPPM-30-001.html" target="2011 TMPPM website_frame">Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook</a></p> <p class="pTOC3"><a href="2011TMPPM-30-002.html#wp2176414" target="2011 TMPPM website_frame">1. General Information</a></p> <p class="pTOC3"><a href="2011TMPPM-30-003.html" target="2011 TMPPM website_frame">2. Chiropractic Manipulative Treatment (CMT)</a></p> <p class="pTOC3"><a href="2011TMPPM-30-009.html" target="2011 TMPPM website_frame">3. Certified Nurse Midwife (CNM)</a></p> <p class="pTOC3"><a href="2011TMPPM-30-019.html" target="2011 TMPPM website_frame">4. Certified Registered Nurse Anesthetist (CRNA)</a></p> <p class="pTOC3"><a href="2011TMPPM-30-026.html" target="2011 TMPPM website_frame">5. Geneticists</a></p> <p class="pTOC3"><a href="2011TMPPM-30-038.html" target="2011 TMPPM website_frame">6. Maternity Service Clinics (MSC)</a></p> <p class="pTOC3"><a href="2011TMPPM-30-056.html" target="2011 TMPPM website_frame">7. Nurse Practitioner (NP) and Clinical Nurse Specialist (CNS)</a></p> <p class="pTOC3"><a href="2011TMPPM-30-064.html" target="2011 TMPPM website_frame">8. Physician</a></p> <p class="pTOC3"><a href="2011TMPPM-30-423.html" target="2011 TMPPM website_frame">9. Physician Assistant</a></p> <p class="pTOC3"><a href="2011TMPPM-30-429.html" target="2011 TMPPM website_frame">10. Claims Resources</a></p> <p class="pTOC3"><a href="2011TMPPM-30-430.html" target="2011 TMPPM website_frame">11. Contact TMHP</a></p> <p class="pTOC3"><a href="2011TMPPM-30-431.html" target="2011 TMPPM website_frame">12. Forms</a></p> <p class="pTOC3"><a href="2011TMPPM-30-449.html" target="2011 TMPPM website_frame">13. Claim Form Examples</a></p> <p class="pTOC2"><a href="2011TMPPM-31-01.html" target="2011 TMPPM website_frame">Nursing and Therapy Services Handbook</a></p> <p class="pTOC3"><a href="2011TMPPM-31-02.html#wp1731187" target="2011 TMPPM website_frame">1. General Information</a></p> <p class="pTOC3"><a href="2011TMPPM-31-03.html" target="2011 TMPPM website_frame">2. Certified Respiratory Care Practitioner (CRCP) Services</a></p> <p class="pTOC3"><a href="2011TMPPM-31-10.html" target="2011 TMPPM website_frame">3. Home Health Services For Nursing and Therapy</a></p> <p class="pTOC3"><a href="2011TMPPM-31-53.html" target="2011 TMPPM website_frame">4. Therapists, Independent Practitioners, and Physicians</a></p> <p class="pTOC3"><a href="2011TMPPM-31-64.html" target="2011 TMPPM website_frame">5. Claims Resources</a></p> <p class="pTOC3"><a href="2011TMPPM-31-65.html" target="2011 TMPPM website_frame">6. Contact TMHP</a></p> <p class="pTOC3"><a href="2011TMPPM-31-66.html" target="2011 TMPPM website_frame">7. Forms</a></p> <p class="pTOC3"><a href="2011TMPPM-31-72.html" target="2011 TMPPM website_frame">8. Claim Form Examples</a></p> <p class="pTOC2"><a href="2011TMPPM-32-001.html" target="2011 TMPPM website_frame">Outpatient Services Handbook</a></p> <p class="pTOC3"><a href="2011TMPPM-32-002.html#wp1997932" target="2011 TMPPM website_frame">1. General Information</a></p> <p class="pTOC3"><a href="2011TMPPM-32-004.html" target="2011 TMPPM website_frame">2. Ambulatory Surgical Center and Hospital Ambulatory Surgical Center</a></p> <p class="pTOC3"><a href="2011TMPPM-32-023.html" target="2011 TMPPM website_frame">3. Birthing Center</a></p> <p class="pTOC3"><a href="2011TMPPM-32-033.html" target="2011 TMPPM website_frame">4. Comprehensive Health Center (CHC)</a></p> <p class="pTOC3"><a href="2011TMPPM-32-034.html" target="2011 TMPPM website_frame">5. Federally Qualified Health Center (FQHC)</a></p> <p class="pTOC3"><a href="2011TMPPM-32-045.html" target="2011 TMPPM website_frame">6. Maternity Service Clinic (MSC)</a></p> <p class="pTOC3"><a href="2011TMPPM-32-046.html" target="2011 TMPPM website_frame">7. Renal Dialysis Facility</a></p> <p class="pTOC3"><a href="2011TMPPM-32-067.html" target="2011 TMPPM website_frame">8. Rural Health Clinic</a></p> <p class="pTOC3"><a href="2011TMPPM-32-081.html" target="2011 TMPPM website_frame">9. Tuberculosis Services</a></p> <p class="pTOC3"><a href="2011TMPPM-32-092.html" target="2011 TMPPM website_frame">10. Claims Resources</a></p> <p class="pTOC3"><a href="2011TMPPM-32-093.html" target="2011 TMPPM website_frame">11. Contact TMHP</a></p> <p class="pTOC3"><a href="2011TMPPM-32-094.html" target="2011 TMPPM website_frame">12. Forms</a></p> <p class="pTOC3"><a href="2011TMPPM-32-097.html" target="2011 TMPPM website_frame">13. Claim Form Examples</a></p> <p class="pTOC2"><a href="2011TMPPM-33-01.html" target="2011 TMPPM website_frame">Radiology and Laboratory Services Handbook</a></p> <p class="pTOC3"><a href="2011TMPPM-33-02.html#wp1769234" target="2011 TMPPM website_frame">1. General Information</a></p> <p class="pTOC3"><a href="2011TMPPM-33-03.html" target="2011 TMPPM website_frame">2. Independent Laboratory</a></p> <p class="pTOC3"><a href="2011TMPPM-33-39.html" target="2011 TMPPM website_frame">3. Radiological and physiological laboratory services</a></p> <p class="pTOC3"><a href="2011TMPPM-33-73.html" target="2011 TMPPM website_frame">4. Claims Resources</a></p> <p class="pTOC3"><a href="2011TMPPM-33-74.html" target="2011 TMPPM website_frame">5. Contact TMHP</a></p> <p class="pTOC3"><a href="2011TMPPM-33-75.html" target="2011 TMPPM website_frame">6. Forms</a></p> <p class="pTOC3"><a href="2011TMPPM-33-76.html" target="2011 TMPPM website_frame">8. Claim Form Examples</a></p> <p class="pTOC2"><a href="2011TMPPM-34-01.html" target="2011 TMPPM website_frame">Vision and Hearing Services Handbook</a></p> <p class="pTOC3"><a href="2011TMPPM-34-02.html#wp1769234" target="2011 TMPPM website_frame">1. General Information</a></p> <p class="pTOC3"><a href="2011TMPPM-34-03.html" target="2011 TMPPM website_frame">2. Nonimplantable Hearing Aid Devices and Related Services</a></p> <p class="pTOC3"><a href="2011TMPPM-34-29.html" target="2011 TMPPM website_frame">3. Implantable Hearing Devices and Related Services</a></p> <p class="pTOC3"><a href="2011TMPPM-34-47.html" target="2011 TMPPM website_frame">4. Vision Care Professionals</a></p> <p class="pTOC3"><a href="2011TMPPM-34-85.html" target="2011 TMPPM website_frame">5. Claims Resources</a></p> <p class="pTOC3"><a href="2011TMPPM-34-86.html" target="2011 TMPPM website_frame">6. Contact TMHP</a></p> <p class="pTOC3"><a href="2011TMPPM-34-87.html" target="2011 TMPPM website_frame">7. Forms</a></p> <p class="pTOC3"><a href="2011TMPPM-34-91.html" target="2011 TMPPM website_frame">8. Claim Form Examples</a></p>