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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 : 2.1.2 Surety Bond Requirements : 2.1.2.1 Proof of Continuation

2.1.2.1
DME providers must maintain a current surety bond to continue participation in Texas Medicaid. Each year, providers must submit documentation that shows proof of continuation of the bond for a new 12‑month term. The document may be submitted on the surety bond company’s form and must include the following components:
To avoid losing Medicaid enrollment status, providers must submit the proof of continuation to the TMHP Provider Enrollment before the expiration date of the bond that is currently on file. The completed proof of continuation document must include the original signatures of the authorized corporate representative of the DME provider (principal), and the attorney-in-fact of the surety company. Providers may submit a copy of the proof of continuation (i.e., scan, FAX, photocopy) pending the submission of the original document.
Submission Information
The surety bond must be submitted to the TMHP Provider Enrollment Department at the following address:
Texas Medicaid & Health Partnership
ATTN: Provider Enrollment
PO Box 200795
Austin, TX 78720-0795
Fax: 1-512-514-4214

Texas Medicaid & Healthcare Partnership
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