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Provider Relations Support for Out-of-State Providers

 Support for Out-of-State Providers


PR Rep Name: Linda Wood
TMHP Medicaid Contact Center at 800-925-9126
CSHCN Service Program Contact Center at 800-568-2413

TMHP offers provider support and training for out-of-state providers. Providers outside of Texas may access education and training on Medicaid policy, and claims submission for new and existing Medicaid providers. Technical support and training are also provided for TexMedConnect software users for Medicaid, Long Term Care, CSHCN Services Program, MDCP, Family Planning, and Federally Mandated Texas Medicaid Re-enrollment.

Workshops:

For information on educational training workshops on claims submission for new and existing Medicaid providers please visit the Provider Education section of this Website. The following are descriptions of some of the workshops TMHP offers throughout the year. as well as a link to the computer-based trainings offered online:

  • Texas Medicaid: The Basics is a two-part free introductory workshop designed for providers new to Texas Medicaid or for providers requesting a Medicaid refresher course. This workshop will provide an overview of the Texas Medicaid program. The morning workshop session will provide topics, such as verify client eligibility and use the client eligibility data to determine program benefits, navigate the TMHP website, and enroll and/or credential to provide additional services. The afternoon workshop session will provide topics, such as submit prior authorization requests, complete and submit claim forms. and obtain Remittance and Status (R & S) Reports through TexMedConnect.
  • Texas Medicaid: Beyond the Basics is a free workshop designed to explain advanced fundamentals of the Texas Medicaid policies and procedures to the more experienced provider. This workshop will focus on addressing topic points important to the more tenured Medicaid provider. This workshop will provide topics required to identify and resolve the top 20 Explanation of Benefits/Explanation of Pending status, file Medicare crossover claims, and identify mass adjustments.
  • TexMedConnect is the TMHP application that provides support and training for transmitting electronic data. TMHP has a Computer Based Training (CBT) module that provides detailed training on installation, claims completion, transmission, client eligibility/MESAV, appeals/adjustments, claim status and more. All TMHP online courses are free, available at anytime, and allow providers the convenience to learn at their own desk.

Provider Enrollment:

You may access online enrollment and re-enrollment applications through the Provider Enrollment section of this website. The Contact Center is also available to answer your questions about completing the application or the status of your application at 1-800-925-9126 or to assist you with the enrollment process.

 
   

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