Table of Contents Previous Next

December 2016 Texas Medicaid Provider Procedures Manual

Section 4: Client Eligibility : 4.4 Restricted Medicaid Coverage : 4.4.3 Hospice Program : Medicaid Services Unrelated to the Terminal Illness
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
CPT only copyright 2014 American Medical Association. All rights reserved.