Table of Contents Previous Next

December 2016 Texas Medicaid Provider Procedures Manual

Clinics and Other Outpatient Facility Services Handbook : 11 Forms
11
Forms
The following linked forms can also be found on the Forms page of the Provider section of the TMHP website at www.tmhp.com:
 
Forms
Federally Qualified Health Center Affiliation Affidavit
Hospital Report (Newborn Child or Children) (Form 7484)
Texas Medicaid & Healthcare Partnership
CPT only copyright 2014 American Medical Association. All rights reserved.