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April 2014 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 6: Claims Filing : 6.16 Claims for Medicaid Hospice Clients Not Related to the Terminal Illness : 6.16.1 Medical Services When Client is Discharged From Hospice

6.16.1
Submit claims to TMHP for Medicaid services with a statement that the services billed were provided after the client was discharged from the Hospice Program. The provider must obtain a copy of Form 3071, Medicaid Hospice Cancellation, from the Hospice Program to support the discharge.
If TMHP denies the claim, the provider may appeal the decision with the following information:

Texas Medicaid & Healthcare Partnership
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