TMPPM 2008 > Texas Medicaid Services > Texas Health Steps (THSteps) > THSteps-Comprehensive Care Program (CCP)

43.4.1.3 Communication with THSteps-CCP

Providers can use the TMHP website and the following telephone or fax numbers for prior authorization or information on THSteps-CCP services:

Note: Prior authorization is a condition for reimbursement, not a guarantee of payment.

Providers can submit the following prior authorization requests for the following on the TMHP website:

Comprehensive Care Inpatient Psychiatric (CCIP):

•Psychiatric Inpatient Initial Admission Request Form.

•Psychiatric Inpatient Extended Stay Request Form.

CCP:

•THSteps-CCP ECI Request for Initial/Renewal Outpatient Therapy.

•Request for Initial Outpatient Therapy (Form TP-1).

•Request for Extension of Outpatient Therapy (Form TP-2).

•Donor Human Milk Request Form.

•Pulse Oximeter Form.

•Wheelchair/Scooter/Stroller Seating Assessment Form (THSteps-CCP/Home Health Services).

•Texas Medicaid Palivizumab (Synagis) Prior Authorization Request Form.

•THSteps-CCP Prior Authorization Request Form.

•Apnea Monitor.

•Bed/Crib.

•Formula.

•Total Parenteral Nutrition (TPN)/Hyperalimentation

•PDN.

•Miscellaneous.

Refer to: "Prior Authorization Requests Through the TMHP Website" for additional information including mandatory documentation requirements and retention.

Send requests for prior authorization and appeals of prior authorization requests to the following address:

Texas Medicaid & Healthcare Partnership
Comprehensive Care Program
PO Box 200735
Austin, TX 78720-0735

Address first-time claims and appeals of incomplete claims for THSteps-CCP only to the following address:

Texas Medicaid & Healthcare Partnership
PO Box 200555
Austin, TX 78720-0555

Direct all other correspondence to a department (e.g., Provider Enrollment). Send all other claims, appeals, and resubmissions to the following address:

Texas Medicaid & Healthcare Partnership
PO Box 200285
Austin, TX 78720-0285

Clients should direct written communication to HHSC at the following address:

HHSC
Customer Service
1100 West 49th Street
Austin, TX 78756-3168

Medicaid clients and families may contact HHSC at 1-800-252-8263.

Documentation requirements for specific services and supplies are found in the provider-specific sections of this section.