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42.5 Eligibility Verification
The following are means to verify Medicaid eligibility of students:
• Verify electronically through TMHP electronic data interchange (EDI) with TexMedConnect or the TDHconnect software.
•School districts may inquire about the eligibility of a student by submitting the student's Medicaid number or two of the following: name, date of birth, or Social Security number.
•A search can be narrowed further by entering the county code or sex of the student. Verifications may be submitted in batches without limitations on the number of students.
•Contact the Automated Inquiry System (AIS) at 1-800-925-9126.
•Contact the TMHP Contact Center at 1-800-925-9126.
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