TMHP is working closely with the Texas Health and Human Services Commission
(HHSC) to monitor COVID-19 and to support the public health-care programs that
are being impacted. While TMHP operations are continuing throughout this public
health threat, in response to COVID-19, TMHP staff will not be available for
face-to-face interactions at this time. Providers are encouraged to use electronic methods for submitting claims, prior
authorizations, enrollment applications, and other transactions. Inquiries
should be directed to the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN
Services Program Contact Center at 800-568-2413.
Note: Texas Medicaid managed care organizations (MCOs) must
provide all medically necessary, Medicaid-covered services to eligible clients.
Administrative procedures such as prior authorization, pre-certification,
referrals, and claims/encounter data filing may differ from traditional Medicaid
(fee-for-service) and from MCO to MCO. Providers should contact the client's
specific MCO for details.
The information on this page is to keep you apprised of the rapidly evolving
COVID-19 situation. Check back often, as this page will be updated as more
information becomes available.
For more information about the Coronavirus on the HHSC website click
Testing and Treatment for the Uninsured
On April 22, 2020, the federal Health Resources
and Services Administration (HRSA) launched a new COVID-19 program to support
reimbursement to providers and facilities for testing and treatment of the
uninsured. The program includes COVID-19 testing and treatment provided on or
after February 4, 2020, and began accepting claims May 6, 2020. Providers can
learn more about the program at:
Expedited Provider Enrollment Information
Due to the COVID-19 disaster, effective March 1, 2020, providers not enrolled
with Texas Medicaid or the CSHCN Services Program can expedite the enrollment
process by using the
Public Health Emergency Enrollment Application
For more information about the Public Health Emergency Enrollment Application,
providers may refer to the article titled, "Public
Health Emergency Enrollment Application Now Available
," which was published
on this website on April 1, 2020.