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December 2016 Texas Medicaid Provider Procedures Manual

Section 8: Third Party Liability (TPL) : 8.4 Non-TPR Sources

A non-TPR is secondary to Texas Medicaid and may only pay benefits after Texas Medicaid. Non-TPR sources include, but are not limited to, accident-only policies, Medicare Part A and Part B, Medicare Part D - Medicare Prescription Drug Plan (PDP), managed care plans, Indigent Health Care, and Medicaid/Children’s Health Insurance Program (CHIP).
The provider bills TMHP directly within 95 days from the date of service. However, if a non-TPR is billed first, TMHP must receive the claim within 95 days of the claim disposition by the other entity.

Texas Medicaid & Healthcare Partnership
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