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December 2016 Texas Medicaid Provider Procedures Manual

Medical Transportation Program Handbook : 2 Individual Transportation Provider (ITP) : 2.1 Enrollment for ITPs

ITPs must follow all rules for enrollment that other providers follow when enrolling with TMHP.
To initiate the enrollment process, the MTP client must contact MTP to request a ride from an individual who is a potential ITP. This request is the first step in the enrollment process for the ITP.
After the client’s call, MTP sends the potential ITP’s information to TMHP, and TMHP mails the potential ITP an enrollment package. The ITP must fill out the Individual Transportation Provider Enrollment Application and mail it to TMHP with all requested documentation.
The provider must identify the MTP clients they will be transporting and whether they are related to the client. The application packet also includes an Electronic Funds Transfer (EFT) Agreement form that authorizes TMHP to deposit payments directly into a bank account, which results in faster payments.
After the ITP application has been processed, the ITP will receive a letter from TMHP that includes the Atypical Provider Identifier (API) and the Texas Provider Identifier (TPI) to be used when the ITP submits claim forms for mileage reimbursement.

Texas Medicaid & Healthcare Partnership
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