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December 2016 Texas Medicaid Provider Procedures Manual

Telecommunication Services Handbook : 4 Claims Filing and Reimbursement : 4.1 Claims Information : 4.1.1 Telemonitoring Services

4.1.1
Providers may submit claims for home telemonitoring services that were provided to Medicaid Qualified Medicare Beneficiary (MQMB) clients directly to TMHP without first submitting a claim to Medicare.
Home telemonitoring services are not a benefit of Medicare, so the requirement that claims for MQMB clients be submitted to Medicare first does not apply. Since claims for home telemonitoring services are not submitted to Medicare first, they are subject to the standard 95-day claim-filing deadline from the date of service.

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