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Heading: Providers Texas Medicaid 
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Texas MedicaidCSHCNFamily PlanningLong Term CareEDIMTPHealth ITTexas WHP

 
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 Forms for Medicaid Providers

The forms on this page are all of the current forms needed by Texas Medicaid providers. The forms are grouped by type to make locating the correct form easier.

Claim Form Examples - This page has completed claim forms with sample data.

 Current Forms

 
   
PA on the Portal Click here for more information on PA on the Portal.
Topics: Information of interest to providers, including NDC and Alberto N. and past initiatives such as PACT transition and hurricanes
Provider ReenrollmentNewsDisclosure of ownership
E-Signature InstructionsTexas Women's Health Program: Click here for information

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