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December 2016 Texas Medicaid Provider Procedures Manual

Inpatient and Outpatient Hospital Services Handbook : 3 Inpatient Hospital (Medical/Surgical Acute Care Inpatient Facility) : 3.4 Services, Benefits, Limitations, and Prior Authorization - Inpatient Psychiatric Services : 3.4.4 Freestanding and State Psychiatric Facilities : Providing IMD Client Information to TMHP
IMD providers are requested to inform TMHP of the Medicaid clients who are residing in their facilities before submitting inpatient claims for those clients.
IMD providers can use the TMHP secure web page to enter client information and the admission and discharge dates by going to My Account and choosing the Manage IMD Clients Segment link in the Acute Care Online Portal field.
IMD providers can search for Medicaid client records that are associated with their provider identifiers.
Providers will be asked to submit the client’s identification number and admission date. After the client is discharged, providers will be requested to enter the discharge date on the same Manage IMD Clients Segment screen.
Providers will not be able to change previously reported client information except for the To Date of Service information.
Providers that submit inaccurate information can call the Electronic Data Interchange (EDI) Help Desk at 1-888-863-3638 to have that client segment inactivated if the request is made within 24 hours of submission. After the erroneous client segment has been inactivated by TMHP, providers may submit a new client segment to replace it. After 24 hours have elapsed, providers must contact HHSC to request a correction to the information. This change must include the appropriate documentation of the client’s patient control number (PCN) and the admission and discharge dates.
The change request and appropriate documentation must be submitted in writing to the following address:
Texas Health and Human Services Commission
Mail Code 91X PO Box 204077
Austin, Texas 78720-4077

Texas Medicaid & Healthcare Partnership
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