Appendix A: State, Federal, and TMHP Contact Information

 

A.1Texas Health and Human Services Commission (HHSC) and Texas Department of State Health Services (DSHS) Office Addresses

Use the following address for general inquiries or for any group that is not listed in the following table:

Texas Health and Human Services Commission
PO Box 13247
Austin, TX 78711-3247

Note:Remember to use the four-digit addition to the ZIP Code.

Use the following address for the HHSC Inspector General:

Texas Health and Human Services Commission
Office of Inspector General
PO Box 85200
Austin, TX 78708-5200

Note:Remember to use the four-digit addition to the ZIP Code.

For the following groups, use the corresponding address and include the group name on the second line of the address.

Address

Group Name

HHSC
Medicaid CHIP–H-200
PO Box 85200
Austin, TX 78708

 

HHSC
Quality Review/Limited Program—1323
PO Box 85200
Austin, TX 78708

 

HHSC
Third Party Liability (TPL)
PO Box 85200

Mail Code 1354

Austin, TX 78708-5200

 

HHSC Medical & UR Appeals
Mail Code H-230
PO Box 85200
Austin, TX 78708
or
4900 North Lamar (Express Mail Only)
Austin, TX 78751

 

HHSC
Medicaid Vendor Drug H-630
PO Box 85200
Austin, TX 78708

 

HHSC
Family Planning
PO Box 149347
Mail Code 0224
Austin, TX 78714-9347

 

DSHS
PO Box 149347
Austin, TX 78714-9347

Children with Special Health Care Needs (CSHCN) Services Program (Mail Code 1938)

Genetic Services (1918)

Indigent Health Care (Mail Code 2831)

Texas Health Steps (THSteps) (Mail Code 1938)

Case Management for Children and Pregnant Women

(Mail Code 1938)

A.2HHSC Regional Offices of Eligibility Services (OES)

Region

OES Officer

Regional Director

Administrative Assistant

01
Lubbock

Bo Platt

Beth Miller

Office:

1-806-783-6637

Shenaz Haney

1-512-206-4836

6302 Iola Avenue

FAX:

1-806-783-6630

1-806-783-6632

 

Lubbock, TX 79424

Mail Code: 217-1

 

 

Amarillo: 1-806-356-3151

Toll Free:

1-888-440-5688

 

02/09
Abilene

Bo Platt

Jerry Flores

Office:

1-325- 795-5526

Amy Earley

1-512-206-4836

4601 South First Street

FAX:

1-325-795-5523

1-325-795-5522

 

Abilene, TX 79604

Mail Code: 001-1

 

 

PO Box 521

Abilene, TX 79604

Toll Free:

1-866-480-2553

 

03
Grand Prairie

Kathy Cox

Tracy Hays

Office:

1-972-337-6171

Sharon Schwalm

1-512-206-5656

801 South State Hwy 161

FAX:

1-972-337-6298

1-972-337-6198

 

Grand Prairie, TX 75051

Mail Code: 012-5

 Michelle McNeil

 

PO Box 532089

Grand Prairie, TX 75053-2089

Toll Free:

1-877-236-6500

 1-972-337-6173

04
Tyler

Patrick Oyelola

Fay Booker

Office:

1-903-509-5142

Charlotte Wade

1-512-206-5250

302 East Rieck Road

FAX:

1-903-509-5133

1-903-509-5125

 

Tyler, TX 75703

Mail Code: 313-5

 

 

 

Toll Free:

1-866-480-2554

 

05
Beaumont

Patrick Oyelola

Stephanie Semien

Office:

1-409-951-3425

Michelle Slugher

1-512-206-5250

285 Liberty, 11th Floor

FAX:

1-409-951-3449

1-409-951-3413

 

Beaumont, TX 77701

Mail Code: 028-1

 

 

 

Toll Free:

1-866-480-2555

 

06
Houston

Cheryl Evans

Gwen Robinson

Office:

1-713-767-2417

Rosie Molano

1-512-206-5135

5425 Polk Street, Suite 240D

FAX:

1-713-767-2323

1-713-767-2491

 

Houston, TX 77023

Mail Code: 178-7

 

 

PO Box 16017
Houston, TX 77222-6017

Toll Free:

1-800-500-4266

 

07
Austin

Kathy Cox

Sandra Dillett

Office:

1-512-832-7617

Melissa Boyd

1-512-206-5656

4616-1 West Howard Lane, Suite 120

FAX:

1-512-832-7665

1-512-832-7692

 

Austin 78728

Mail Code: 016-1

 

 

 

Toll Free:

1-866-480-2556

 

08
San Antonio

Bo Platt

Grace Moser

Office:

1-210-619-8226

Bertha Ortiz

1-512-206-4836

11307 Roszell

FAX:

1-210-619-8293

1-210-619-8019

 

San Antonio, TX 78217

Mail Code: 279-4

 

 

PO Box 23990
San Antonio, TX 78223

Toll Free:

1-877-322-3233

 

10
El Paso

Cheryl Evans

Margaret Adame

Office:

1-915-834-7580

Barbara Lopez

1-512-206-5135

401 East Franklin

FAX:

1-915-834-7582

1-915-834-7581

 

El Paso, TX 79901

Mail Code: 111-1

 

 

PO Box 981017
El Paso, TX 79998-1017

Toll Free:

1-866-480-2557

 

11
Edinburg

Patrick Oyelola

Cynthia Pena

Office:

1-956-316-8272

Karina Tovar

1-512-206-5250

2520 South Veterans Road

FAX:

1-956-316-8175

1-956-316-8277

 

Edinburg, TX 78539

Mail Code: 108-1

Benito Narro

 

PO Box 960
Edinburg, TX 78540-0960

Toll Free:

1-866-480-2558

1-956-316-8361

ART

 

Ramon Gamboa (Interim)

Office:

1-806-783-6626

Melissa Coates

 

6302 Iola Ave

FAX:

1-806-783-6630

1-281-344-3496

 

Lubbock, TX 79424

Mail Code: 270-7

 

Customer Care Center

Cheryl Evans

Kelly Ford

Office:

1-903-675-9748

Barbara Wright

1-512-206-5135

891 West Corsicana

FAX:

1-903-675-1799

1-903-675-9716

 

Athens, TX 75751

Mail Code: 120-4

 

 

Program Includes: CBS/CPC/HTW/CCC

 

 

 

Data Integrity

Monica Shepherd

Data Integrity Program Manager

Vacant

Office:

1-512-706-7175

Gregory Maxwell

1-512-706-7125

1-512-206-4842

1106 Clayton Lane, Suite 450E

FAX:

1-512-706-7150

 

 

Austin, TX 78723

Mail Code: Y-922

 

MEPD

Eric McDaniel

Regions 6, 7, 8, 11, Statewide Centers, and DDU

1-512-206-4564

 

Cindy Fortress

Office:

1-512-206-5560

Barbara Tejero

909 West 45th Street

FAX:

1-512-206-5041

1-512-206-5438

Austin, TX 78751

 

Mail Code: 992-6

Regions 1, 2/9, 3, 4, 5, 10, and CCC

Patty Seals

Office:

1-903-927-0329

Lisa Coleman

4105 Victory Drive

FAX:

1-903-927-0249

1-903-927-0280

Marshall, TX 75672

 

 

Mail Code: 227-1

OES can also be contacted by fax at 1-512-206-5273. For additional office information, visit the HHSC website at www.hhsc.state.tx.us.

Refer to:  subsection A.5, “DSHS Health Service Regions Map” in this section to identify the regional boundaries.

A.2.1Telephone Communication with HHSC and DSHS

Contact

Telephone Number

Assessment Utilization Services (limited program) (Option 4)

1-800-436-6184

HHSC Hearing Services for Children (HSC) (hearing aid, evaluations)

1-800-925-9126

DSHS Emergency Medical Services Division

1-512-834-6700

DSHS IMMTRAC Help Desk

1-800-348-9158

DSHS Immunization Branch

1-800-252-9152

Medical Transportation Program (MTP) Hotline

1-877-633-8747

THSteps/EPSDT Hotline

1-877-847-8377

Medicaid Vendor Drug Program Pharmacy Provider Resolution Helpdesk (fee-for-service)

1-800-435-4165

A.3Client Telephone Communication with HHSC

Clients can call the client toll-free number at 1-800-252-8263.

A.4Federal and State Telephone Numbers

Telephone Number

Department/Program

1-800-CDC- INFO
1-800-232-4636)

AIDS Hotline (Nationwide, distributed by Centers for Disease Control and Prevention [CDC], Atlanta, Georgia)

1-800-299-2437

HIV/STD InfoLine

1-800-255-1090

Texas HIV Medication Program

1-800-252-5400

Child/Elder Abuse Intake (Department of Family and Protective Services [DFPS])

1-512-776-7420

Vision and Hearing Screening Program (DSHS)

1-512-834-6650, Ext. 2601

Clinical Laboratory Improvement Amendments (CLIA) Certification Line

1-800-458-9858

Client Abuse Hotline for Long Term Care Services and Support—
Nursing Facilities (HHSC)

1-800-252-8263

Client Inquiry Hotline (HHSC) (Medicaid questions from clients with
Medicaid only)

1-512-776-7745

THSteps Program (DSHS)

1-888-963-7111 ext. 7318 or
1-512-776-7318
Fax: 1-512-776-7294

THSteps Laboratory Services (DSHS)

1-888-963-7111 ext. 7661 or
1-512-776-7661
Fax: 1-512-776-7672

Laboratory Supply Orders (DSHS)

1-888-963-7111 ext. 7578 or
1-512-776-7578

Report of Laboratory Test Results (DSHS)

1-512-776-7796

HHSC Family Planning

1-800-436-6184

Fraud or Abuse of Provider Services (HHSC Office of Inspector General)

1-800-436-6184

Fraud or Abuse/Long Term Care Services and Support—Nursing Facilities/HHSC

1-800-436-6184

Fraud or Abuse/Client/HHSC Office of the Inspector General

1-800-792-1109

Goal-Directed Therapy

1-512-438-3169
or 1-800-252-8010

Hospice Program (HHSC Policy Development division)

1-800-252-9152

Immunization Branch (DSHS)

1-800-925-9126

Medically Needy Spend Down Unit

1-800-MEDICARE
or 1-800-633-4227

Medicare/Social Security Administration

1-800- 925-9126

Newborn Screening (DSHS)

1-800-925-9126

HHSC Hearing Services for Children (HSC)

1-800-628-5115

DARS Inquiries Line (for information about ECI or to refer a child.)

1-800-436-6184

Recipient Utilization Control Unit (HHSC)
(for limited status review and for referrals from providers for potential client overutili­zation, etc.)

1-512-776-7796

Breast and Cervical Cancer Services (DSHS)

1-713-526-2559

Snellen Letter (Tumbling E Wall Chart)

1-800-435-4165

Medicaid Vendor Drug Program (HHSC) (fee-for-service)
(specifically for pharmacy use)

1-877-728-3927

Medicaid Vendor Drugs Prior Authorization Center (fee-for-service)

1-866-993-9972

Healthy Texas Women (HTW) program Eligibility

1-512-776-7796

Cervical Cancer Screening

A.5DSHS Health Service Regions Map

DSHS_Regions_Map.jpg

 

A.6DSHS Health Service Region Contacts

Health Service Region 1
Regional Office (Lubbock)

Health Service Regions 2 & 3
Regional Office (Arlington)

DSHS/PHR 1
6302 Iola Ave.
Lubbock, TX 79424
1-806-744-3577
Fax: 1-806-783-6435

DSHS/PHR 2 & 3
1301 S. Bowen, Suite 200
Arlington, TX 76013
1-817-264-4500
Fax: 1-817-264-4506

Regional Medical Director
Peter W. Pendergrass, MD, MPH

Regional Medical Director
James A. Zoretic, MD

Deputy Regional Director
Barry Wilson

Deputy Regional Director (acting)
Earlene Quinn

Manager of Social Work Services and Case Management
Judy Lara, LBSW

Manager of Social Work Services and Case Management
Lindsay Matousek, LMSW, CCM

Communicable Disease Manager
Vacant

Director of Clinic Operations
Dorothy Kuhlmann, RN

Immunization Program Manager
Keila Johnson

Immunization Program Manager
Sonna Sanders

Tuberculosis Team Leader
Melanie Lee

Communicable Disease Program Manager
Gary Willett

THSteps Operations Lead
Elizabeth Stanford

6302 Iola Ave
Lubbock, TX 79424
Mail Code: 1899
1-806-783-6445
Fax: 1-806-783-6455

Tuberculosis Team Leader
Jeff Ralston

Emergency Preparedness
Bryan Flow, DVM

 

THSteps Operations Lead
Trellis Grant
1301 S. Bowen Road #200, Mail Code 1905
Arlington, TX 76013
1-817-264-4918
Fax: 1-817-264-4910

 

HIV/STD Program Manager
Vacant

Health Service Regions 4 & 5 (North)
Regional Office (Tyler)

Health Service Regions 6 & 5 (South)
Regional Office (Houston)

DSHS/PHR 4 & 5 North
2521 West Front Street
Tyler, TX 75702
1-903-595-3585
Fax: 1-903-593-4187

DSHS 6 & 5 South
5425 Polk Avenue, Suite J
Houston, TX 77023
1-713-767-3000
Fax: 1-713-767-3049

Regional Medical Director
Dr. Paul K. McGaha, DO, MPH

Regional Medical Director (Acting)
John G. Jordan, M.D., MPH

Deputy Regional Director
Vacant

Deputy Regional Director
Greta Etnyre, MS, RD

Manager of Social Work Services and Case Management
Vacant

Manager of Social Work Services and Case Management
Raymond Turner, MA, LMSW-AP

Director of Nursing
Barbara Lay, RN, MSN

Director of Nursing
Melinda Denson, RN, MPH

Immunization Program Manager
Toni Wright

Immunization Program Manager
Angel H. Angco, MBA, RN

HIV/STD Program Manager
Charles O’Brien

HIV/STD Program Manager
Linda Hollins

Tuberculosis Program Manager
Teresa Santiago, RN

Tuberculosis Program Manager
Lewis Gonzalez, MD

THSteps Operations Lead
Caleb Rackley
2521 W. Front, Mail Code 1358
Tyler, TX 75702
1-903-533-5357
Fax: 1-903-595-4706

THSteps Operations Lead
Shannon Jones
5425 Polk Avenue, Suite J, Mail Code 1906
Houston, TX 77023-1497
1-713-767-3105
Fax: 1-713-767-3125

Health Service Region 7
Regional Office (Temple)

Health Service Region 8
Regional Office (San Antonio)

DSHS/PHR 7
2408 S 37th Street
Temple, TX 76504-7168
1-254-778-6744
Fax: 1-254-778-4066

DSHS/PHR 8
7430 Louis Pasteur Drive
San Antonio, TX 78229
1-210-949-2000
Fax: 1-210-949-2015

Regional Medical Director
Lisa Cornelius, MD, MPH

Regional Medical Director
Sandra Guerra-Cantu, MD, MPH

Deputy Regional Director
Jon Huss

Deputy Regional Director
Gail Morrow, MPH

Manager of Social Work Services and Case Management
Leesa Ferrero, LMSW

Manager of Social Work Services and Case Management
Katherine Velasquez, RN, PhD

Director of Nursing
Pauline Culbert, MSN, RN

Director of Nursing
Sandra Jones, MSN, CNS

Immunization Program Manager
Diane Romnes

Immunization Program Manager
Laurie Henefey

HIV/STD Program Manager
Al Gonzales

Communicable Disease Program Manager
Cherise Rohr-Allegrini, PhD

Tuberculosis Program Manager/Nurse Consultant
Dana Schoepf, RN

HIV/STD Program Manager
Joanna Nichols, MPH

THSteps Operations Co-leads
Kimberly Langley
1-254-760-1176
Suzan Cooper
1-254-563-5412
2408 S. 37th Street, Mail Code 1902
Temple, TX 76504
Fax: 1-254-773-2722

THSteps Operations Lead
Velma Stille
7430 Louis Pasteur Drive, Mail Code 5716
San Antonio, TX 78229
1-210-949-2159
Fax: 1-210-949-2041

Health Service Regions 9 & 10
Regional Office (El Paso)

Health Service Region 11
Regional Office (Harlingen)

DSHS/PHR 9 & 10
401 E. Franklin, Suite 210
El Paso, TX 79901
1-915-834-7682
Fax: 1-915-834-7808

DSHS/PHR 11
601 W. Sesame Drive
Harlingen, TX 78550
1-956-423-0130
Fax: 1-956-444-3293

Regional Medical Director
James A. Zoretic, M.D., M.P.H.,
Interim Regional Medical Director

Regional Medical Director
Brian Smith, MD, MPH

Deputy Regional Director
Blanca Serrano, MPH, RS

Deputy Regional Director
Sylvia Garces-Hobbs

Manager of Social Work Services and Case Management
Patrice Loge, LMSW

Manager of Social Work Services and Case Management
Angelica Martinez, MS, LBSW

Director of Nursing
Sharon Lindsey, RN

Director of Nursing
Darlene Farias, RN

Immunization Program Manager
Jose Padilla

Immunization Program Manager
Ivette Nunez

HIV/STD Program Manager
Oscar Hernandez

HIV/STD Program Manager
Richard Anguiano

Communicable Disease Manager
Gale Morrow, MPH, CHES

Tuberculosis Program Manager
Maria San Pedro, MSPHN, RN

THSteps Operations Lead
Patrice Loge, LMSW
401 E. Franklin, Suite 200, Mail Code 1903
El Paso, TX 79901
1-915-834-7733
Fax: 1-915-834-7802

THSteps Operations Lead
Ray Garza
601 W. Sesame Drive, Mail Code 1907
Harlingen, TX 78550
1-956-421-5563
Fax: 1-956-444-3293

 

A.7State Participating Local Health Departments and Public Health Districts

State Participating Local Health Departments and Public Health Districts

Abilene Public Health Department
Region 2/3
Larry Johnson, Administrator
PO Box 6489 (79608-6489)
850 N. 6th Street
Abilene, TX 79605
1-325-692-5600
Fax: 1-325-734-5370

Hidalgo County Health Department
Region 11
Eduardo Olivarez, Administrator
Omar Garza, MD, Director
1304 South 25th Street
Edinburg, TX 78539-7205
1-956-383-6221
Fax: 1-956-444-3298

Amarillo Bi-City-County Health District
Department of Health
Roger Smalligan, MD, Health Authority,
Matt Richardson, Director for the City of Amarillo
Department of Health
1000 Martin Road
Amarillo, TX 79107
1-806-378-6300
Fax: 1-806-378-6306

Houston Health & Human Services Department
Region 6/5 S
Stephen L. Williams, MD, MPH, Director
8000 North Stadium Drive
Houston, TX 77054
1-713-794-9311
Fax: 1-713-798-0862

Andrews City-County Health Department
Region 9/10
Robert Garcia, MD, Director
208 NW 2nd street
Andrews, TX 79714
1-432-524-1434
Fax: 1-432-524-1461

Jackson County Health Department
Region 8
Bain C. Cate, MD, Director
411 North Wells, Room 206
Edna, TX 77957
1-361-782-5221

Fax: 1-361-782-7312

Angelina County & Cities Health District
Region 4/5N
Sharon Shaw, Administrator
John Rudis, MD, Director
Lufkin, TX 75904
1-936-632-1139
Fax: 1-936-632-2640

Jasper-Newton County Public Health District
Region 4/5 N
Danny Brackin
139 West Lamar Street
Jasper, TX 75951
1-409-384-6829
Fax: 1-409-384-7861

Atascosa County Health Department
Region 8
Gerald B. Phillips, MD, Director
1102 Campbell Avenue
Jourdanton, TX 78026
1-830-769-3451
Fax: 1-210-769-2349

Jefferson County Health Authority
Cecil A. Walkes, MD
1295 Pearl Street
Beaumont, TX 77701
1-409-835-8530
Fax: 1-409-839-2353

Austin Department of Health & Human Services
Region 7
Health District
David Lurie, Director
7201 Levander Loop, Bldg. E
Austin, TX 78744
1-512-927-5010
Fax: 1-512-972-5016

Liberty County Health Authority
Steven C. Ellerbe, DO
720 Travis
Liberty, TX 77575
1-936-336-6439
Fax: 1-936-336-6517

Beaumont City Health Department
Region 5/6 S
Ingrid West-Holmes, Director
PO Box 3827
950 Washington Blvd
Beaumont, TX 77704
1-409-832-4000
Fax: 1-409-832-4270

Live Oak County Health Department
Region 11
Alan Crouther, Director
Drawer 670 (78022)
Live Oak County Courthouse
George West, TX 78022
1-361-449-2733
Fax: 1-361-449-1013

Bell County Public Health District
Region 7
Wayne Farrell, Director
PO Box 3745 (76505)
South 9th Street
Temple, TX 76501
1-254-773-4457

Fax: 1-254-773-7535

Lubbock City Health Department
Region 1
Nancy Haney, Director
PO Box 2548 (79408)
1902 Texas Avenue
Lubbock, TX 79405
1-806-775-2899
Fax: 1-806-775-3209

Brazoria County Health Department
Region 6/5 S
Leo D. O’Gorman, MD, MPH, Director
432 East Mulberry
Angleton, TX 77515
1-979-864-1484
Fax: 1-979-756-1456

Maverick County Health Department
Region 8
Arturo Batres, MD, Director
490 S. Bibb
Eagle Pass, TX 78852
1-830-773-9438
Fax: 1-830-773-6450

Brazos County Health Department
Region 7
Ken Bost, Executive Director
201 North Texas Avenue
Bryan, TX 77803-5317
1-979-361-4440
Fax: 1-409-823-6993

Marshall-Harrison County Health District
Region 4/5 N
Robert Palmer, MD, Director
805 Lindsey Drive
Marshall, TX 75670
1-903-938-8338
Fax: 1-903-938-8330

Brownwood-Brown County Health Department
Region 2/3
Russ Skinner, MD, Director
PO Box 1389
Brownwood, TX 76804
1-325-646-0554
Fax: 1-325-643-8157

Medina County Health Department
Region 8
John W. Meyer, MD, Director
3103 Avenue G
Hondo, TX 78861
1-830-741-6191
Fax: 1-830-426-4202

Calhoun County Health Department
Region 8
Bain C. Cate, Director
117 West Ash
Port Lavaca, TX 77979
1-361-552-9721
Fax: 1-361-552-9722

Midland County Health Department
Region 9/10
Celestino Garcia, RS, Administrator
James M. Humphreys, Jr., MD, Director
Mailing address:
PO Box 4905
Midland, TX 79704
Physical address:
3303 West Illinois St., Space 22
Midland, TX 79703
1-432-681-7613
Fax: 1-432-681-7634

Cameron County Health Department
Region 11
Yvette Salinas, Administrator
1390 W. Ex. 83
San Benito, Tx. 78586
1-956-247-3685
Fax: 1-956-361-8280

Milam County Health Department
Region 7
Patsy Gaines, Director
PO Box 469 (76520)
209 South Houston Street
Cameron, TX 76520
1-254-697-7039
Fax: 1-254-697-4809

Cass County Health Department
Region 4/5 N
R. Bruce LeGrow, MD, Director
PO Box 310 (75563)
South Kaufman and Rush
Linden, TX 75563
1-903-756-7051
Fax: 1-214-796-3976

Montgomery County Health Department
Region 6/5 S
Vickie Modeland, Director
701 E. Davis, Ste. A
Conroe, Tx. 77301
1-936-525-2800
Fax: 1-936-539-4668

Chambers County Health Department
Region 6/5 S
William Clay Brown, Director
PO Box 670 (77514)
1222 Main Street
Anahuac, TX 77514
1-409-267-8356
Fax: 1-409-267-4276
landres@ih2000.net

Orange County Health Department
Region 6/5
Howard C. Williams, MD
Sheila Cole, Director
2014 North 10th Street
Orange, TX 77630
1-409-883-6119
Fax: 1-409-883-3147
Williams@pnx.com

Cherokee County Health Department
Region 4/5 N
Judy Beck, MD, Director
1209 N. Main Street
Rusk, TX 75785
1-903-683-4688
Fax: 1-903-683-4899

Paris-Lamar County Health Department
Region 4/5 N
Anthony Bethel, Director
PO Box 938 (75460)
740 South West 6th Street
Paris, TX 75460
1-903-785-4561
Fax: 1-903-737-9924

City of Dallas Department of Environmental & Health Services/Region 2/3
Karen D. Rayzer, Director
1500 Marilla Street, Suite 7AN
Dallas, TX 75201
1-214-670-5711
Fax: 1-214-670-3863

Plainview-Hale County Health District
Region 1
John Castro, Director
111 East 10th
Plainview, TX 79072
1-806-293-1359
Fax: 1-806-293-5741

City of Laredo Health Department
Region 11
Hector Gonzalez, Director
PO Box 2337 (78044)
2600 Cedar Street
Laredo, TX 78040
1-956-723-2051
Fax: 1-956-726-2632

Port Arthur City Health Department
Region 6/5 S
Yoshi Alexander, Director
449 Austin Avenue
Port Arthur, TX 77640
1-409-983-8800
Fax: 1-409-983-8870

Collin County Health Care Services
Region 2/3
Candy Blair, Director
825 North McDonald Street, Suite 130
McKinney, TX 75069
1-972-548-5500
Fax: 1-972-548-7221

San Angelo-Tom Green County Health Department
Region 9/10
Sandra Villarreal, Director
Mailing address:
PO Box 1751 (76902)
Physical address:
106 S. Chadburne
San Angelo, TX 76903
1-325-657-4493
Fax: 1-325-657-4553

Colorado County Health Authority
Raymond R. Thomas, MD
610 S. Austin Road
Eagle Lake, TX 77434
1-979-234-2551
Fax: 1-979-234-5994

San Antonio Metropolitan Health District
Region 8
Fernando Guerra, MD, MPH, Director
332 West Commerce, Suite 307
San Antonio, TX 78205-2489
1-210-207-8730
Fax: 1-210-207-8999

Corpus Christi-Nueces County Public Health District/Region W
Annette Rodriguez, Interim Director
PO Box 9727 (78469)
1702 Horne Road
Corpus Christi, TX 78416
1-361-851-7200
Fax: 1-361-851-7295

San Patricio County Health Department
Region 11
Josie Michael, Director
James Mobley, MD, Director
313 North Rachal
Sinton, TX 78387
1-361-364-6208
Fax: 1-361-364-6117

Corsicana-Navarro County Public Health District
Region 2/3
Kent Rogers, MD, Director
618 North Main
Corsicana, TX 75110
1-903-874-6731
Fax: 1-903-872-7215

Scurry County Health Department
Region 2/3
Cindy Wright, Director
911 26th Street
Snyder, TX 79549
1-325-573-3508
Fax: 1-325-573-0380

Cuero-DeWitt County Health Department
Region 8
Bain C. Cate, MD, Director
106 North Gonzales Street
Cuero, TX 77954
1-361-275-3461
Fax: 1-361-275-5732

Smith County Public Health District
Region 4/5 N
George T. Roberts, Jr., F.A.C.H.E., Director
815 North Broadway
Tyler, TX 75702-4507
1-903-535-0036
Fax: 1-903-535-0052

Dallas County Health Department
Region 2/3
Zachary S.Thompson, Director
2377 Stemmons Freeway
Dallas, TX 75207-2710
1-214-819-6070
Fax: 1-214-819-6022

South Plains Public Health District
Region 1
Morris S. Knox, MD, Director
919 East Main Street
Brownfield, TX 79316
1-806-637-2164
Fax: 1-806-637-4295

Del Rio-Val Verde County Health Department
Manuel A. Martinez, BS, MD, Director
400 Pecan Street (3rd Floor)
Del Rio, TX 78840
1-830-774-7570
Fax:1-830-774-7642
manuel_martinez@valverdecounty.org

Sweetwater-Nolan County Health Department
Region 2/3
Don Ware, RS, Director
PO Box 458 (79556)
301 East 12th Street
Sweetwater, TX 7z9556
1-915-235-5463
Fax: 1-915-236-6856

Denton County Health Department
Region 2/3
Bing Burton, Administrator
306 N. Loop 288, Suite 183
Denton, TX 76209
1-940-349-2900
Fax: 1-940-349-2905

Texarkana-Bowie County Family Health Center
Region 4/5 N
Kathy Moore, Administrator
902 West 12th
Texarkana, TX 75501
1-903-798-3255
Fax: 1-903-793-2289

Ector County Health Department
Region 9/10
Gino Solla, Director
Nathan Galloway, MD, Director
221 North Texas
Odessa, TX 79761
1-432-498-4141
Fax: 1-432-498-4143

Uvalde City-County Health Department
Region 8
Liz Barrett, RN, Director
1021 Garnerfield Road
Uvalde, TX 78801
1-830-278-1705
Fax: 1-830-278-1881

El Paso City-County Health and Environmental District/Region 9/10
Jorge Magaña, MD, Director
1148 Airway Blvd
El Paso, TX 79925-3692
1-915-771-5701
Fax: 1-915-543-3541

Victoria County Health Department
Region 8
Bain C. Cate, MD, Director
PO Box 2350 (77902)
2805 N. Navarro
Victoria, Tx 77901
1-361-578-6281
Fax: 1-361-578-7046

Fort Bend County Health Department
Region 6/5 S
Jean Galloway, MD, Director
PO Box 668 (77471)
4520 Reading Road, Suite A
Rosenberg, TX 77471
1-281-342-6414
Fax: 1-281-342-7371

Waco-McLennan County Public Health District
Region 7
Roger Barker, MBA, Director
225 West Waco Drive
Waco, TX 76707
1-254-750-5450
Fax: 1-254-750-5452

Fort Worth-Tarrant County Department of Public Health
Region 2/3
Daniel B. Reimer, Director
Nick Curry, MD, Director
1800 University Drive
Fort Worth, TX 76107
1-817-871-7201
Fax: 1-817-871-7335

Walker County Health Authority
Region 6/5 S
M. Gebre-Selassie, MD
2804 Lake Road, #4
Huntsville, TX 77340
1-936-291-9600
Fax: 1-936-291-1625

Galveston County Health District
Region 6/5 S
H. Mark Guidry, MD, MPH, Director
PO Box 939 (77568)
1207 Oak Street
La Marque, TX 77568
1-409-938-2401
Fax: 1-409-938-2243
rmorris@gchd.org

Wichita Falls-Wichita County Public Health District
Region 2/3
Lou Franklin, RN, BSN, Director
Tom Edmonson, Administrator
1700 Third Street
Wichita Falls, TX 76301
1-940-761-7805
Fax: 1-940-767-5242

Grayson County Health Department
Region 2/3
Wayne Bell
515 North Walnut
Sherman, TX 75090
1-903-893-0131
Fax: 1-903-892-3776

Williamson County and Cities Public Health District
Region 7
W.S. Riggins, Jr., MD, MPH, Director
PO Box 570 (78627)
100 W. 3rd Street
Georgetown, TX 78626
1-512-943-3600
Fax: 1-512-943-1499

Greenville-Hunt County Health Department
Region 2/3
Mark Memahan, DO, Director
Henry Underwood, DO, Director
4815 King Street, Ste. B
Greenville, TX 75401
1-903-455-4433
Fax: 1-903-455-4956

Wilson County Health Department
Region 8   
Edwin Baker, Director
PO Box 396 (78114)
Wilson County Courthouse
Floresville, TX 78114
1-830-393-8503
Fax: 1-830-393-6031

Hardin County Health Department
Region 6/5 S
Mary Pastor, Director
PO Box 820 (77625)
440 W. Monroe
Kountze, TX 77625
1-409-246-5188
Fax: 1-409-246-4373

Wood County Health Department
Region 4/5 N
David C. Murley, MD, Director
Wood County Courthouse
PO Box 596 (75783)
Quitman, TX 75783
1-903-763-5406
Fax: 1-903-763-2902

Harris County Health Department
Region 6/5 S
2223 W. Loop South
Houston, TX 77027
1-713-439-6016
Fax: 1-713-439-6080
thyslop@hc.co.harris.tx.us

Zavala County Health Department
Region 8
Antonio Rivera, MD, Director
600 North John F. Kennedy Drive
Crystal City, TX 78839
1-210-374-3010
Fax: 1-210-374-3007

Hays County Health Department
Region N
Larry Birdwell, DO, Director
401-A Broadway Drive
San Marcos, TX 78666
1-512-353-4353
Fax: 1-512-396-4656

 

A.8Department of Assistive and Rehabilitative Services (DARS), Blind Services

DARS, Blind Services

 

Central Office
Administrative Building
4800 North Lamar
Administrative Building #110
Austin, TX 78756
1-800-628-5115
1-800-252-5204 (voice or TDD)
Fax: 1-512-377-0468

Laredo
313 West Village Blvd., Suite 112
Laredo, TX 78041-2275
1-956-523-8050
1-800-687-7030
Fax: 1-956-523-8088

Abilene
4601 S. 1st Street, Suite M
Abilene, TX 79605-1463
1-325-795-5840
1-800-687-7009
Fax: 1-325-795-5850

Lubbock
Corporate Center
5121 69th Street, Suite A-5
Lubbock, TX 79424-1631
1-806-783-2930
1-800-687-7032
Fax: 1-806-783-2950

Amarillo
7120 I-40 West, Suite 100
Amarillo, TX 79106-2500
1-806-351-3870
1-800-687-7010
Fax: 1-806-351-3885

Lufkin
3201 South Medford, #5
Lufkin, TX 75901-5796
1-936-630-3960
1-800-687-7033
Fax: 1-936-630-3978

Austin
7517 Cameron Road #120
Austin, TX 78752-2053
1-512-533-7100
1-800-687-7008
Fax: 1-512-459-0200

McAllen
801 Nolana, Suite 115
McAllen, TX 78504-3023
1-956-661-0930
1-800-687-7037
Fax: 1-956-661-0940

Beaumont
550 Eastex Freeway, Suite D
Beaumont, TX 77708
1-409-898-8490
1-800-687-7013
Fax: 1-409-924-7360

Odessa
3016 Kermit Hwy., Suite A
Odessa, TX 79764
1-432-334-5650
1-800-687-7034
Fax: 1-432-332-3183

Bryan-College Station
1115-A Welsh
College Station, TX 77840-4267
1-979-680-5290
1-800-687-7014
Fax: 1-979-680-5287

San Angelo
State of Texas Services Center
622 South Oakes, Suite D
San Angelo, TX 76903-7035
1-325-659-7920
1-800-687-7038
Fax: 1-325-659-7929

Corpus Christi
410 S. Padre Island Drive, #103
Corpus Christi, TX 78405-4122
1-361-289-8710
1-800-687-7015
Fax: 1-361-289-8737

San Antonio
Trinity Building
4204 Woodcock Drive, #274
San Antonio, TX 78228-1324
1-210-785-2750
1-800-687-7039
Fax: 1-210-785-2790

Dallas
6500 Greenville Ave., Suite 250
Dallas, TX 75206-1010
1-214-378-2600
1-800-687-7017
Fax: 1-214-378-2630

Southeast
10060 Fuqua
Houston, TX 77089-1337
1-713-948-7960
1-800-687-7036
Fax: 1-713-948-7993

El Paso
401.E. Franklin, Suite #240
El Paso, TX 79901-1210
1-915-834-7004
1-800-687-7020
Fax: 1-915-834-7072

Texarkana
410 Baylor, Suite C
Texarkana, TX 75501-3290
1-903-255-3200
1-800-687-7040
Fax: 1-903-255-3209

Fort Worth
4200 South Freeway, #307
Fort Worth, TX 76115-1404
1-817-759-3500
1-800-687-7023
Fax: 1-817-759-3532

Tyler
Woodgate Office Park, Building 1
1121 ESE Loop 323, Bldg. 1, #106
Tyler, TX 75701-9660
1-903-279-0970
1-800-687-7042
Fax: 1-903-279-0992

Harlingen
1812 West Jefferson
Harlingen, TX 78550-5247
1-956-336-3600
1-800-687-7025
Fax: 1-956-366-3614

Victoria
Town Plaza Mall
4102 N. Navarro Street, D-2
Victoria, TX 77901-2600
1-361-580-5700
1-800-687-7043
Fax: 1-361-580-5737

Houston
427 West 20th, #407
Heights Medical Tower
Houston, TX 77008-2430
1-713-802-3100
1-800-687-7028
Fax: 1-713-802-3132

Waco
801 Austin Street, Suite 710
Waco, TX 76701-1937
1-254-753-1552
1-800-687-7044
Fax: 1-254-753-1343

 

Wichita Falls
3709 Gregory Street, Suite 102
Wichita Falls, TX 76308-1624
1-940-689-2740
1-800-687-7045
Fax: 1-940-689-2749

A.9HHSC Open Records Requests

Providers who would like to make open records requests should visit the Open Records page of the HHSC website. For general inquiries, such as claim status inquiries, eligibility verification, and prior authorization requests, refer to subsection A.10, “TMHP Telephone and Fax Communication” in this section for contact information.

A.10TMHP Telephone and Fax Communication

Contact

PA Request Telephone Number

General Inquiry Telephone Number

Fax Number

General Information

TMHP Contact Center

N/A

1-800-925-9126 or 1-512-335-5986

 

Automated Inquiry System (AIS)

N/A

1-800-925-9126 or 1-512-335-5986

 

Provider Enrollment

N/A

TMHP Contact Center

1-512-514-4214

Telephone appeals

N/A

1-800-745-4452

 

TMHP Electronic Data Interchange (EDI) Help Desk

N/A

1-888-863-3638

1-512-514-4228

1-512-514-4230

Program and Prior Authorization Information

Ambulance (Medicaid and CSHCN Services Program)

1-800-540-0694

TMHP Contact Center

1-512-514-4205

Prior Authori­zation Only

Children with Special Health Care Needs (CSHCN) Services Program

N/A

1-800-568-2413

1-512-514-4222 Prior Authori­zation Only

Comprehensive Care Program (CCP) (for CCP prior authorization status and general CCP and Home Health Services information)

N/A

1-800-846-7470

1-512-514-4212 Prior Authori­zation Only

CCP personal care services (PCS)

N/A

1-888-648-1517

N/A

Comprehensive Care Inpatient Psychi­atric (CCIP) Unit

Option 1 – CCIP

Option 2 – Substance abuse

N/A

1-800-213-8877

1-512-514-4211 Prior Authori­zation Only

Home Health Services
Requests for new prior authorization or extensions cannot be made over the telephone.

1-800-925-8957 (follow-up and status inquiry only)

 

1-512-514-4209 Prior Authori­zation Only

Obstetric ultrasound

1-800-302-6167

TMHP Contact Center

1-512-302-5039 Prior Authori­zation Only

Special Medical Prior Authorization (SMPA)

N/A

TMHP Contact Center

1-512-514-4213)

Prior Authori­zation Only

Texas Health Steps (THSteps) dental inquiries

N/A

1-800-568-2460

N/A

THSteps medical inquiries

N/A

1-800-757-5691

N/A

Family Planning (tubal ligation and vasectomy consent forms)

N/A

TMHP Contact Center

1-512-514-4229

Hysterectomy acknowledgment statements

N/A

TMHP Contact Center

1-512-514-4218

Other Program and Reimbursement Information

Health Insurance Premium Payment (HIPP)

N/A

1-800-440-0493

 

Long Term Care (LTC) operations

N/A

1-800-626-4117

 

LTC—Nursing Facilities

N/A

1-800-727-5436

 

Medicaid Audit/Cost Reports

N/A

1-512-506-6117

1-512-506-7811

Third Party Liability (TPL) (Option 2)

N/A

1-800-846-7307

1-512-514-4225

Tort (Option 3)

N/A

1-800-846-7307

1-512-514-4225

A.11Written Communication With TMHP

All CMS-1500 forms (excluding ambulance, radiology/laboratory, immunization services, rural health, and mental health rehabilitation) sent to TMHP for the first time, as well as claims being resubmitted because they were initially denied as incomplete claims, must be sent to the following address:

Texas Medicaid & Healthcare Partnership
Claims
PO Box 200555
Austin, TX 78720-0555

The post office box addresses must be used for the specific items listed in the following table:

Correspondence

Address

Appeals/adjustments of claims (except zero paid/zero allowed on Remittance & Status [R&S] Reports)

Electronically rejected claims past the 95-day filing deadline and within 120 days of electronic rejection report

Texas Medicaid & Healthcare Partnership
Appeals/Adjustments
PO Box 200645
Austin, TX 78720-0645

All first-time claims

Texas Medicaid & Healthcare Partnership
Claims
PO Box 200555
Austin, TX 78720-0555

Ambulance Authorization (includes out-of-state transfers)

Texas Medicaid & Healthcare Partnership
Ambulance Prior Authorizations
P O Box 200735
Austin, TX 78720-0735

CCP requests (prior authorization and appeals)

Texas Medicaid & Healthcare Partnership
Comprehensive Care Program (CCP)
PO Box 200735
Austin, TX 78720-0735

CSHCN Services Program claims

Texas Medicaid & Healthcare Partnership
CSHCN Services Program Claims
PO Box 200855
Austin, TX 78720-0855

Home Health Services prior authorizations

Texas Medicaid & Healthcare Partnership
Home Health Services
PO Box 202977
Austin, TX 78720-2977

Medicaid audit correspondence

Texas Medicaid & Healthcare Partnership
Medicaid Audit
PO Box 200345
Austin, TX 78720-0345

Medically Needy Clearinghouse (MNC) or Spend Down Unit correspondence

Texas Medicaid & Healthcare Partnership
Medically Needy Clearinghouse
PO Box 202947
Austin, TX 78720-2947

Provider Enrollment correspondence

Texas Medicaid & Healthcare Partnership
Provider Enrollment
PO Box 200795
Austin, TX 78720-0795

Other provider correspondence

Texas Medicaid & Healthcare Partnership
Provider Relations
PO Box 202978
Austin, TX 78720-0978

Send all other written communication to TMHP

Texas Medicaid & Healthcare Partnership
(Department)
12357-B Riata Trace Parkway, Suite 100
Austin, TX 78727

TMHP Fee-for-Service and ICF-IID Dental prior authorization requests

Texas Medicaid & Healthcare Partnership
Fee-for-Service and ICF-IID Dental
PO Box 204206
Austin, TX 78720-4206

TPL/Tort correspondence

Texas Medicaid & Healthcare Partnership
Third Party Liability/Tort
PO Box 202948
Austin, TX 78720-2948

A.12Other TMHP Information

A.12.1TMHP Website

The TMHP website at www.tmhp.com is a valuable resource that provides:

Provider education information and registration for upcoming education/training sessions (i.e., live workshops, webinars, computer-based training, and audio content).

Publications, such as bulletins, banner messages, and provider manuals.

A TMHP News section with announcements of program changes and other important information.

Real-time and static fee schedules.

Forums, polls, and questionnaires.

Online provider enrollment.

Complete instructions for setting up a Provider Administrator account and the use of online claims status inquiries (CSI), eligibility verification, and Electronic Remittance and Status (ER&S) Reports.

Additional advanced features are available for those providers who create an account. All enrolled providers are eligible for this free account. Once an account is activated, providers will have access to:

Texas Medicaid enrollment information.

CSIs.

Eligibility verification.

ER&S Report download option.

Claims submission.

Claims appeals.

Online provider lookup.

Online fee lookup (OFL) to obtain real-time fee information for an individual or a range of procedure codes. Benefits and limitations for certain services and history up to 2-years is also available.

Payment amounts search, view, and print capabilities.

Notification of an invalid address on file for any Texas Provider Identifier (TPI) associated with a provider’s National Provider Identifier (NPI).

Notification of pending payments because of inaccurate or incomplete provider information.

Manage hospital admission and discharge information on clients residing in an institution for mental diseases (IMD)

Important:Natural disasters, such as floods or hurricanes, can impact the delivery of health care to Texas Medicaid clients. When disaster strikes, providers should monitor the TMHP website for special instructions.

New services are always being added to the website. Please visit www.tmhp.com for the latest infor­mation on TMHP online services.

A.12.2TMHP Contact Center

The TMHP Contact Center is available from 7 a.m. to 7 p.m., Central Time, Monday through Friday.

The TMHP Contact Center assists with questions such as:

Provider enrollment procedures

Claims filing procedures

Policy information

The TMHP Contact Center is available to assist providers and clients. Please review the telephone and fax communication guides in this section for a list of contact telephone and fax numbers.

Provider calls, including those that were previously made to the Provider Relations territory representa­tives, are now handled first by the Contact Center. The Contact Center is well equipped to handle most inquiries about benefits and claims.

If the Contact Center representative determines that an inquiry can best be handled by the TMHP Provider Relations department, the inquiry will be forwarded to Provider Relations. For example, providers who want to talk to their Provider Relations representative about a visit, in-service, or training, can call the Contact Center, and the Contact Center will forward the request to Provider Relations.

Resolution of more complex issues that are referred to Provider Relations for further analysis can take up to 30 days from the date of the referral. For these issues, Provider Relations will contact the provider by telephone or e-mail when the issue has been resolved.

For questions or information about Medicaid eligibility, clients are referred to their caseworker or the local HHSC office.

A.12.3Automated Inquiry System (AIS)

AIS provides the following information and services through the use of a touch-tone telephone:

Claim status

Patient eligibility

Benefit limitations

Medically Needy case status

Family Planning

Current weekly payment amount

Claim appeals.

Eligibility and claim status information is available on AIS 23 hours a day, 7 days a week, with scheduled down time between 3 a.m. and 4 a.m., Central Time. All other AIS information is available from 7 a.m. until 7 p.m., Central Time, Monday through Friday. AIS offers 15 transactions per call.

For full instructions on the use and benefits of AIS, refer to the “Automated Inquiry System (AIS) User’s Guide” available on www.tmhp.com or call the TMHP Contact Center at 1-800-925-9126 for faxed instructions.

A.12.4TMHP Provider Relations

The TMHP Provider Relations Department comprises a staff of Austin- and field-based provider relations representatives whose goal is to serve the health-care community by furnishing a variety of services and activities designed to inform and educate health-care providers about Texas Medicaid activ­ities and claim submission procedures.

Provider Relations activities include the following:

Provider education through planned events. Provider Relations representatives conduct a planned program of educational workshops, in-services, webinars, computer-based training (CBT), and other training sessions designed to keep all actively-enrolled providers informed of the latest policies, claim processing procedures, and federal and state regulations affecting Texas Medicaid. Details of all available provider training can be found in the Provider Education section of the TMHP website at www.tmhp.com.

Problem identification and resolution. A staff of research coordinators is available to assist providers with clarification of Medicaid policies and assist with in-depth problem claim submission issues after initial inquiries are made with the TMHP Contact Center. Coordinators work closely with field-based regional representatives to coordinate the educational needs of the community.

Relationship with professional health-care organizations. To ensure that Texas associations that represent health-care professions have up-to-date information about the requirements for partici­pation in Texas Medicaid, the Provider Relations Department maintains a work relationship with these organizations. Also, the Provider Relations Department participates in several events sponsored by Texas health-care associations, such as conventions and conferences.

Call the TMHP Contact Center at 1-800-925-9126 for assistance.

A.12.5Reporting a Complaint to TMHP

Providers can report complaints by calling the TMHP Contact Center at 1-800-925-9126 or by submitting a written complaint to:

TMHP
Complaints Resolution Department
PO Box 2014270
Austin, TX 778720-4270

A complaint is defined as any dissatisfaction concerning any aspect of Texas Medicaid. The term “complaint” does not include a misunderstanding or a problem with misinformation that is resolved promptly by clearing up the misunderstanding or supplying the appropriate information to the provider’s satisfaction.

Providers should submit the following information when reporting the complaint:

Point of contact name and phone number or email address

Provider name

Provider TPI, if available

Description of the complaint situation

Client name

Client PCN

Date of service

A.12.6TMHP Electronic Data Interchange (EDI) Help Desk

The TMHP EDI Help Desk assists Medicaid providers with EDI transactions. The TMHP EDI Help Desk is available at 1-888-863-3638 from 7 a.m. to 7 p.m., Central Time, Monday through Friday.

TMHP EDI Help Desk activities and responsibilities include, but are not limited to, the following:

Enrolling providers for electronic billing

Qualifying vendors for TMHP EDI production through testing

Diagnosing claim transmission problems through research

Consulting with provider billing personnel, billing services, and software vendors regarding TMHP EDI

TMHP EDI Help Desk staff assists with questions about TMHP EDI, TexMedConnect, and electronic transmissions at 1-888-863-3638.

Providers who employ hardware or software vendors should contact those vendors for the resolution of technical problems.