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December 2016 Texas Medicaid Provider Procedures Manual

Medicaid Managed Care Handbook : 11 Other State Health-Care Programs

11
The services available under the following programs are administered by TMHP or other state programs and not by the client’s MCO or dental plan:
CHIP Perinatal Program - The CHIP Perinatal Program provides prenatal care to the unborn children of pregnant women up to 200 percent of the federal poverty level who are not eligible for other Medicaid programs or traditional CHIP. The professional services are administered by the health plan, and some inpatient services are administered by TMHP.
Refer to:
Subsection 6.19, “Children’s Health Insurance Program (CHIP) Perinatal Claims” in Section 6, “Claims Filing” (Vol.1, General Information).
Claims and authorization requests for the services listed above must be submitted according to the established guidelines.

Texas Medicaid & Healthcare Partnership
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