TMPPM 2008 > Provider Information > Managed Care > PCCM

   
 

7.5.9.3 Monthly Client Panel Report

The monthly client panel report verifies the primary care provider's PCCM client assignments for the current month and identifies clients who may be eligible for THSteps services. Primary care providers can obtain their monthly panel report containing a list of clients assigned to them by accessing the TMHP website at www.tmhp.com. However, providers may request a paper panel report by calling the PCCM Provider Helpline at 1-888-834-7226. Providers are strongly encouraged to obtain their panel report from the TMHP website as it contains other valuable information that is not included on the paper report.

Clients appearing on the monthly panel report are eligible for services for the entire calendar month.

Based on the number of clients appearing on the monthly panel report, the primary care provider receives a monthly case management fee. This payment is processed by TMHP.

Refer to: "Claims Filing Information" .

Panel Closings

PCCM primary care providers may choose to close their panel to new assignments. To close a panel, primary care providers should contact the PCCM Provider Enrollment, Contracting/Credentialing Department in writing (by mail or fax) to request a suspension of new enrollments or assignments to his practice. All correspondence must include the provider's contracted provider identifier on signed letterhead. Should the provider choose to re-open his panel, contact the PCCM Contracting/Credentialing Department in writing (by mail or fax) to request the panel be re-opened to new assignments. Providers should notify PCCM at least 30 days before re-opening their panel. Providers may contact the Provider Enrollment, Contracting/Credentialing Department for a Provider Information Change Form to close and re-open a panel.

Refer to: "Provider Information Change Form".


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