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December 2016 Texas Medicaid Provider Procedures Manual

Medical Transportation Program Handbook : 3 Lodging Provider : 3.1 Enrollment for Lodging Providers

Lodging providers must be enrolled with TMHP as an MTP provider to receive reimbursement for claims.
Lodging providers enroll in MTP in one of two ways:
The provider must complete and return the entire provider enrollment application including the Lodging Provider Rate Information Sheet and the Internal Revenue Service (IRS) W-9 Tax Identification form. The enrollment packet contains an EFT form that authorizes direct deposit payments for faster reimbursement; however, completion of the EFT form is not a requirement for enrollment.
Lodging providers can download an application for MTP by visiting the MTP Lodging page on the TMHP website at

Texas Medicaid & Healthcare Partnership
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