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July 2014 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 6: Claims Filing : 6.18 Claims for State Supported Living Center Residents (SSLC)

6.18
Medicaid providers who render off-campus acute care services to Medicaid-eligible State Supported Living Center (SSLC) residents must submit claims directly to Medicaid. This is applicable only to residents of the SSLCs operated by the Department of Aging and Disability Services (DADS).
Claims and prior authorization requests for acute care services rendered to these individuals must be submitted to Medicaid. These requests must be submitted according to guidelines for acute care services as indicated in this manual.
Refer to:
Section 5: Fee-for-Service Prior Authorizations (Vol. 1, General Information) for more information on prior authorizations.

Texas Medicaid & Healthcare Partnership
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