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December 2016 Texas Medicaid Provider Procedures Manual

Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook : 2 Texas Medicaid (Title XIX) Home Health Services : 2.1 Enrollment

All DME providers must be Medicare-certified before applying for enrollment in Texas Medicaid.
Providers that render custom DME wheeled mobility systems to Texas Medicaid clients must enroll in Texas Medicaid as a specialized/custom wheeled mobility group provider and must have at least one qualified rehabilitation professional (QRP) performing provider.
Certified QRP providers must enroll in Texas Medicaid as performing providers under DME provider groups.
To enroll in Texas Medicaid as a QRP performing provider, individual professionals must be certified by the National Registry of Rehabilitation Technology Suppliers (NRRTS) or Rehabilitation Engineering and Assistive Technology Society of North America (RESNA) and must enroll as a performing provider under a Specialized /Custom Wheeled Mobility group.
Providers may download the Texas Medicaid Provider Enrollment Application at or request a paper application form by contacting Texas Medicaid & Healthcare Partnership (TMHP) directly at 1-800-925-9126.
Providers may also obtain the paper enrollment application by writing to the following address:
Texas Medicaid & Healthcare Partnership
Provider Enrollment
PO Box 200795
Austin, TX 78720‑0795
Fax: 1-512-514‑4214
Providers may request prior authorization for home health services by contacting:
Texas Medicaid & Healthcare Partnership
Home Health Services
PO Box 202977
Austin, TX 78720‑2977
Fax: 1-512-514‑4209

Texas Medicaid & Healthcare Partnership
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