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7.5.19 Claims Filing Information
All PCCM claims are submitted to TMHP, whether TANF or SSI. In addition to fee-for-service payments, providers enrolled as PCCM primary care providers receive a case management fee of $5.00 per client, per month. The fee-for-service reimbursement for PCCM is based on the Texas Medicaid Reimbursement Methodology (TMRM) structure.
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