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December 2016 Texas Medicaid Provider Procedures Manual

Medical Transportation Program Handbook : 6 Claims Filing : 6.6 Paper Claims

6.6
MTP providers can also file claims using the CMS-1500 paper claim form. Providers obtain copies of the CMS-1500 paper claim form from a vendor of their choice; TMHP does not supply them.
Providers must submit paper claims to TMHP at the following address:
Texas Medicaid & Healthcare Partnership
Claims
PO Box 200555
Austin, TX 78720-0555

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