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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 4: Client Eligibility : 4.4 Restricted Medicaid Coverage : 4.4.3 Hospice Program : 4.4.3.3 Medicaid Services Unrelated to the Terminal Illness

4.4.3.3
When services are unrelated to the Medicaid Hospice client’s terminal illness, Medicaid (TMHP) pays its providers directly. Providers of services that are unrelated to the terminal illness are required to follow Medicaid prior authorization and claims filing deadlines.
Refer to:
Section 5: Fee-for-Service Prior Authorizations (Vol. 1, General Information) for more information about prior authorizations for Medicaid hospice clients.
Section 6: Claims Filing (Vol. 1, General Information) for more information about filing claims for Medicaid Hospice Clients.

Texas Medicaid & Healthcare Partnership
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