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December 2016 Texas Medicaid Provider Procedures Manual

Section 4: Client Eligibility : 4.5 CHIP Perinatal Program : 4.5.3 Client Eligibility Verification : Newborn’s eligibility
For CHIP Perinatal newborns with a family income at or below pregnant women’s Medicaid limits FPIL, providers can obtain eligibility information and the newborn’s PCN by performing an eligibility verification on the TMHP website or by calling the TMHP Contact Center at 1-800-925-9126.
TMHP cannot provide CHIP Perinatal Program eligibility information for the newborn or mother, regardless of the client’s income level. For CHIP Perinatal Program eligibility information, contact the CHIP health plan.
A report of birth remains an important step to ensure timely Medicaid eligibility for the newborn. A birth must be reported to the state through the typical birth registry process (e.g., use of Texas Electronic Registration system [TER]). In TER, the screen containing the Medicaid/CHIP number should continue to be populated with the mother’s alpha-numeric CHIP Perinatal Program number (e.g., J12345678). In addition, a mother can report the birth by calling 1-877-KIDS-NOW (1-877-543-7669).

Texas Medicaid & Healthcare Partnership
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