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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 7: Appeals : 7.2 Refunds to TMHP

7.2 Refunds to TMHP
The TMHP Cash Reimbursement Unit is responsible for processing financial adjustments when any of the following occur: overpayment, duplicate payment, payment to incorrect providers, and overlapping payments by Medicaid and a third party resource (TPR).
Providers have the option of refunding payments by issuing a check to TMHP or requesting a recoupment through the paper appeal process. The paper appeal process does not require a provider to issue a check because the refund amount is reduced on the R&S Report. To accurately process claim refunds, the TMHP Cash Reimbursement Unit requests that the refund check be accompanied by Form 7.2, “Texas Medicaid Refund Information Form” in this section, with the following information:
To request the forms, contact the TMHP Contact Center at 1‑800‑925‑9126, or write to the following address:
Texas Medicaid & Healthcare Partnership
Contact Center
12357‑B Riata Trace Parkway, Suite 150
Austin, TX 78727
Refer to:
Subsection 4.13, “Third Party Liability (TPL)” in Section 4, “Client Eligibility” (Vol. 1, General Information) for additional TPL information.

Texas Medicaid & Healthcare Partnership
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