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2012 Texas Medicaid Provider Procedures Manual

Medicaid Managed Care Handbook : 2. Overview of Medicaid Managed Care : 2.3 General Information About Client Enrollment in Managed Care : 2.3.2 Eligibility Verification Resources

The provider is responsible for verifying the client's eligibility before providing services. The provider must also verify and abide by prior authorization or administrative requirements established by the MCO or dental plan.
Refer to:
Section 4: Client Eligibility (Vol. 1, General Information) for more information.
The client's managed care MCO and dental plan enrollment information can be verified by:
The client's managed care eligibility can also be verified using:
Refer to:
Subsection 4.5.3, “Client Eligibility Verification” in Section 4: Client Eligibility (Vol. 1, General Information) for additional information about verifying client eligibility.
Refer to:

Texas Medicaid & Healthcare Partnership
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