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December 2016 Texas Medicaid Provider Procedures Manual

Medical Transportation Program Handbook : 4 Meals Provider : 4.3 Claims Filing for Meals Providers

4.3
Providers must submit a separate claim form to TMHP for each unique authorization number (or day of meals).
There are two ways for providers to submit claims to TMHP:
By paper using the CMS-1500 paper claim form.
Refer to:
Electronically, using TMHP electronic data interchange (EDI) or the TexMedConnect functionality through the TMHP website.
Refer to:
Meals providers may not charge an MTP client a fee for completing claim forms. TMHP also cannot be charged for the filing of claim forms.

Texas Medicaid & Healthcare Partnership
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