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December 2016 Texas Medicaid Provider Procedures Manual

Section 1: Provider Enrollment and Responsibilities : 1.7 Electronic Health Records (EHR) Incentive Program : 1.7.2 How to Return an Electronic Health Records (EHR) Payment

1.7.2
Providers that have received an EHR incentive payment that they do not want or that must be returned to satisfy an EHR accounts receivable must follow the steps below to ensure that the returned payment is credited properly:
1)
2)
Fill out the top portion designated for provider information. This information should correspond to the Payee (recipient) of the EHR incentive payment, even if the recipient is different than the attesting provider. The Payee will supply information on the attesting provider in the section below.
3)
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5)
Texas Medicaid & Healthcare Partnership
Financial Department
12357-B Riata Trace Parkway
Suite 150
Austin, TX 78727

Texas Medicaid & Healthcare Partnership
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