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December 2016 Texas Medicaid Provider Procedures Manual

Medical Transportation Program Handbook : 6 Claims Filing : 6.1 Claims Filing Deadlines

All claims for services rendered to eligible MTP clients are subject to a filing deadline from the DOS of:
Claims submitted by newly-enrolled MTP providers must be received within 95 days of the date the atypical provider identifier (API) is issued, and within 365 days of the date of service (DOS). Providers with a pending application should submit any claims that are nearing the 365-day deadline from the DOS. TMHP will reject all claims until an API is issued. MTP providers can use the TMHP rejection report or Return to Provider (RTP) letters as proof of meeting the 365- day deadline and submit an appeal.

Texas Medicaid & Healthcare Partnership
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