TMPPM 2008 > Provider Information > Client Eligibility > Restricted Medicaid Coverage

   
 

4.3.4.2 Medical Services when Client is Discharged from Hospice

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 nonhospice 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 nonhospice provider may appeal the decision with the following information:

A copy of the R&S report, with the client/claim number in question circled.

Supporting documentation stating that the client was not in hospice at the time.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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