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December 2016 Texas Medicaid Provider Procedures Manual

Section 6: Claims Filing : 6.12 Filing Medicare Primary Claims : 6.12.1 Electronic Crossover Claims : 6.12.1.2 Medicare Copayments

6.12.1.2
Claims for Medicare copayments can also be submitted to TMHP.
Refer to:
Subsection 2.7.4.2, “Nephrology (Hemodialysis, Renal Dialysis) and Renal Dialysis Facility Providers” in “Section 2: Texas Medicaid Fee‑for‑Service Reimbursement” (Vol. 1, General Information) for information about claims for nephrology (hemodialysis, renal dialysis) and renal dialysis facility providers for Medicare crossover Claims.
Subsection 2.7.4, “Exceptions” in “Section 2: Texas Medicaid Fee‑for‑Service Reimbursement” (Vol. 1, General Information) for information about exceptions for Medicare Part A, Part B, and Part C (noncontracted MAPs) reimbursement.
Subsection 6.12.2.2, “Health Maintenance Organization (HMO) Copayments” in this section for information about HMO copayments.

Texas Medicaid & Healthcare Partnership
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