Table of Contents Previous Next Index

2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 4: Client Eligibility : 4.2 Eligibility Verification

4.2 Eligibility Verification
To verify a client’s Texas Medicaid eligibility, use the following options:
One of the following combinations: Social Security number and last name; Social Security number and date of birth; or last name, first name, and date of birth. Providers can narrow the search by entering the client’s county code or sex.
Contact the TMHP Contact Center or AIS at 1‑800‑925‑9126 or (512) 335‑5986.
Submit a hard-copy list of clients to TMHP. This service is only used for clients with eligibility that is difficult to verify. A charge of $15 per hour plus $0.20 per page, payable to TMHP, applies to this eligibility verification. The list includes names, gender, and dates of birth if the Social Security and Medicaid ID numbers are unavailable. TMHP can check the client’s eligibility manually, verify eligibility, and provide the Medicaid ID numbers. Mail the lists to the following address:
Texas Medicaid & Healthcare Partnership
Contact Center
12357‑A Riata Trace Parkway
Suite 100
Austin, TX 78727

Texas Medicaid & Healthcare Partnership
CPT only copyright 2011 American Medical Association. All rights reserved.