Table of Contents Previous Next

December 2016 Texas Medicaid Provider Procedures Manual

Medical Transportation Program Handbook

Medical Transportation Program
Handbook
Table of Contents
1 General Information 4
1.1 Contacting MTP 4
2 Individual Transportation Provider (ITP) 5
2.1 Enrollment for ITPs 5
2.2 Prior Authorization for ITPs 5
2.3 Claims Filing for ITPs 5
3 Lodging Provider 6
3.1 Enrollment for Lodging Providers 6
3.2 Prior Authorization for Lodging Providers 6
3.3 Claims Filing for Lodging Providers 7
4 Meals Provider 7
4.1 Enrollment for Meals Providers 7
4.2 Prior Authorization for Meals Providers 7
4.3 Claims Filing for Meals Providers 8
5 Prior Authorization 8
5.1 Retention of Prior Authorization Documents 8
5.2 Definition of Prior Authorization Documents 8
5.3 Copies of Prior Authorization Documents 9
5.4 Storage of Prior Authorization Document Storage 9
6 Claims Filing 9
6.1 Claims Filing Deadlines 10
6.2 Auditing of Claims 10
6.3 Important Codes for All MTP Providers 10
6.4 Delegation of Signature Authority 11
6.5 Electronic Claims 11
6.5.1 TMHP Electronic Data Interchange (EDI) 11
6.5.2 TexMedConnect 12
6.5.3 Vendor Software 12
6.5.4 Third Party Vendor Implementation 12
6.6 Paper Claims 13
6.6.1 Tips on Expediting Paper Claims 13
6.6.1.1 General requirements 13
6.6.1.2 Data Fields 13
6.6.1.3 Attachments 13
6.6.1.4 Attachments to Claims 14
6.6.2 CMS-1500 Instruction Table 14
7 Claim Form Examples 15
 

Texas Medicaid & Healthcare Partnership
CPT only copyright 2014 American Medical Association. All rights reserved.