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December 2016 Texas Medicaid Provider Procedures Manual

Section 7: Appeals : 7.3 Appeals to HHSC Texas Medicaid Fee-for-Service : 7.3.4 Provider Complaints : 7.3.4.2 Provider Complaint Process

7.3.4.2
The TMHP Complaints Resolution Department Unit handles all provider complaints. The processing of a provider’s complaint is described as follows:
Providers who believe they did not receive due process regarding their complaint from TMHP may file a complaint with HHSC. Providers are encouraged to utilize the appeals and grievance process with TMHP before filing a complaint with HHSC.

Texas Medicaid & Healthcare Partnership
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