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December 2016 Texas Medicaid Provider Procedures Manual

Section 4: Client Eligibility : 4.6 Medically Needy Program (MNP) : 4.6.2 Closing an MNP Case

4.6.2
Medically needy cases are closed by MNC for the following reasons:
Insufficient charges were submitted to meet spend down, and the client did not respond to a request for additional charges to be submitted within 30 days of the notification letter.
Charges submitted after the spend down has been met will not reopen the case automatically. The client must call the Client Hotline at 1‑800‑335‑8957.
Note:
For information regarding the Medically Needy Program for CSHCN Services Program clients refer to the CSHCN Services Program Provider Manual.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2014 American Medical Association. All rights reserved.