Table of Contents

Introduction

1 TMHP and DSHS Contact Information

2 Client Benefits and Eligibility

3 Provider Enrollment and Responsibilities

4 Authorizations

5 Reimbursement and Claims Filing

6 Remittance and Status (R&S) Reports

7 Appeals and Administrative Review

8 Advanced Practice Nurse (APN)

9 Ambulance

10 Augmentative Communication Devices (ACDs)

12 Certified Registered Nurse Anesthetist (CRNA)

11 Certified Respiratory Care Practitioner (CRCP)

13 Dental

14 Durable Medical Equipment (DME)

15 Expendable Medical Supplies

16 Home Health (Skilled Nursing) Care

17 Hospice

18 Hospital

19 Laboratory Services

20 Medical Nutrition Services

21 Orthotics and Prosthetics

22 Outpatient Behavioral Health

23 Physical Medicine and Rehabilitation

24 Physician

25 Radiation Therapy Services

26 Radiology Services

27 Renal Dialysis

28 Respiratory Equipment

29 Speech-Language Pathology (SLP) Services

30 Total Parenteral Nutrition (TPN)/Hyperalimentation

31 Transportation of Deceased Clients

32 Vision Related Services

33 TMHP Electronic Data Interchange (EDI)

A Acronyms and Initialisms Dictionary

B Forms