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December 2016 Texas Medicaid Provider Procedures Manual

Section 4: Client Eligibility : 4.14 State Supported Living Centers

Inpatient hospital care for individuals who are eligible for Supplemental Security Income (SSI) Medicaid and reside in a State Supported Living Center (SSLC) must be billed to TMHP. Medicaid providers who render off-campus acute care services to Medicaid-eligible SSLC residents are also required to submit claims directly to Medicaid. This is applicable only to residents of the SSLCs operated by DADS.
Claims and prior authorization requests for acute care services that are rendered to these clients must be submitted directly to Medicaid.
Providers may contact DADS for assistance or information about billing procedures for state school services.

Texas Medicaid & Healthcare Partnership
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