44.4 Certification of FundsAs public providers of TB-related clinic services receiving only the federal share of Medicaid payments, public provider TB clinics fund the state/local (e.g., nonfederal) share through CPE. The Certification of Funds letter is mailed by TMHP Provider Enrollment to DSHS at the end of each quarter of the federal fiscal year (FFY), which is October 1 through September 30. The letter requires certification of 100 percent of the Medicaid-allowable costs for the dates of services covered by payments received within the previous federal fiscal quarter (including the federal share, the total state/local share, and the total computable expenditure). To assist in certifying the funds documented in the letter, the Certification of Funds Claims Information Report will be available for review upon receipt of the letter. The report will contain Texas Medicaid fee-for-service (FFS) (Program 100) and Texas Medicaid Primary Care Case Management (PCCM) (Program 200) claims on the same page sorted by paid date. Refer to: "TMHP Provider Relations" on page vii for more information about provider relations representatives. The Certification of Funds letter must be:
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• Failure to do so may result in recoupment of funds or the placement of a vendor hold on the provider's payments until the signed Certification of Funds letter is received by TMHP. If the Certification of Funds letter was not received, contact TMHP Contact Center at 1-800-925-9126. |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2007 American Medical Association. All rights reserved. |
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