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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Preliminary Information : TMHP Telephone and Address Guide : Written Communication With TMHP

Written Communication With TMHP
All CMS-1500 forms (excluding ambulance, radiology/laboratory, immunization services, rural health, and mental health rehabilitation) sent to TMHP for the first time, as well as claims being resubmitted because they were initially denied as incomplete claims, must be sent to the following address:
Texas Medicaid & Healthcare Partnership
Claims
PO Box 200555
Austin, TX 78720-0555
The post office box addresses must be used for the specific items listed in the following table:
Appeals/adjustments of claims (except zero paid/zero allowed on Remittance & Status [R&S] Reports)

Electronically rejected claims past the 95-day filing deadline and within 120 days of electronic rejection report
Texas Medicaid & Healthcare Partnership
Appeals/Adjustments
PO Box 200645
Austin, TX 78720-0645
Texas Medicaid & Healthcare Partnership
Claims
PO Box 200555
Austin, TX 78720-0555
Texas Medicaid & Healthcare Partnership
Ambulance Prior Authorizations
P O Box 200735
Austin, TX 78720-0735
Texas Medicaid & Healthcare Partnership
Comprehensive Care Program (CCP)
PO Box 200735
Austin, TX 78720-0735
Texas Medicaid & Healthcare Partnership
CSHCN Services Program Claims
PO Box 200855
Austin, TX 78720-0735
Texas Medicaid & Healthcare Partnership
Home Health Services
PO Box 202977
Austin, TX 78720-2977
Texas Medicaid & Healthcare Partnership
Medicaid Audit
PO Box 200345
Austin, TX 78720-0345
Texas Medicaid & Healthcare Partnership
Medically Needy Clearinghouse
PO Box 202947
Austin, TX 78720-2947
Texas Medicaid & Healthcare Partnership
Provider Enrollment
PO Box 200795
Austin, TX 78720-0795
Texas Medicaid & Healthcare Partnership
Provider Relations
PO Box 202978
Austin, TX 78720-0978
Texas Medicaid & Healthcare Partnership
(Department)
12357-B Riata Trace Parkway, Suite 150
Austin, TX 78727
Texas Medicaid & Healthcare Partnership
Fee-for-Service and ICF-MR Dental
PO Box 204206
Austin, Texas 78720-4206
Texas Medicaid & Healthcare Partnership
Third Party Liability/Tort
PO Box 202948
Austin, TX 78720-2948

Texas Medicaid & Healthcare Partnership
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