Below is a list of scheduled TMHP workshops. This TMHP Workshop Description list will be updated throughout the year as TMHP offers additional workshops.
If you see a TMHP workshop you want to attend, close this browser window to return to the Online Workshop Registration page, where you will be able to check available times and locations.
Click on a workshop title below to see the full description (alphabetical order):
Success with CSHCN Services Program
Family Planning Titles V, X, XX & Title XIX
Focusing on Physicians
Texas Health Steps (THSteps) Medical
Texas Health Steps (THSteps) Dental
Long Term Care RUG Workshop for Community Waiver Program
Long Term Care RUG/MDS Nursing Facility/Hospice Provider Workshop
Long Term Care TexMedConnect Workshop
Acute Care Provider TexMedConnect Workshop
Provider Workflow Webinar / Q & A Conference Calls - Registration Now Open
Ambulance Workshop
The Texas Medicaid & Healthcare Partnership (TMHP) knows how important ambulance services are to the citizens of Texas and is committed to ensuring ambulance providers’ claims are processed quickly and accurately. That’s what the Rolling Across Texas ambulance workshop is all about. This free workshop will reinforce ambulance providers’ understanding of the claims filing process and will focus on the problems ambulance providers most often encounter when filing claims for services rendered. This workshop will also detail hospital and nursing facilities' responsibilities and outline the steps required to obtain prior authorization for non-emergent ambulance transports.
The objectives of the Rolling Across Texas ambulance workshop are to:
- Introduce new providers to the Texas Medicaid Program
- Enhance provider understanding of ambulance billing procedures
- Detail the prior authorization process
- Define provider roles and responsibilities
- Review various ways to verify eligibility
- Understanding and using the Remittance and Status Report
- Review and discuss common denials
- Outline resources available
Texas Medicaid: The Basics
Saving you time and money and increasing your productivity is what the Texas Medicaid: The Basics workshop is all about. The Texas Medicaid & Healthcare Partnership (TMHP) has revamped and updated the Success with Medicaid workshop to help you address the issues most important to you in an ever more demanding health-care environment.
This free workshop is targeted to providers with less than two years of experience in the Medicaid Program, as well as providers considering enrolling in the Medicaid Program, and is presented in two parts.
Part I The Basics will:
- Increase your knowledge of the Texas Medicaid Program and the services it provides.
- Educate you about Primary Care Case Management (PCCM).
- Provide an update on the National Provider Identifier (NPI). (PCCM)
- Review the various ways to verify client eligibility.
- Review methods to efficiently submit and track claims and appeals.
Part II Enrollment will:
- Review the guidelines for enrolling in the Texas Medicaid Program, THSteps Medical and Dental programs, and the Children with Special Health Care Needs (CSHCN) Services Program.
- Review the process for completing the Texas Medicaid Enrollment Application using the new online tool available on the TMHP website.
- Medicaid Managed Care and Primary Care Case Management
- Review the process of enrolling as a primary care provider in the PCCM program.
- Review the process for updating provider information with TMHP.
After attending the Texas Medicaid: The Basics workshop, you will understand better:
- The Medicaid team.
- Medicaid Managed Care and PCCM.
- Provider responsibilities.
- Eligibility verification.
- Claim submission and claim tracking.
- Appeal types and submission.
- Resources.
- Medicaid enrollment guidelines.
- Provider enrollment on the TMHP website.
- Online provider lookup tool.
Focusing on Physicians
The The Texas Medicaid & Healthcare Partnership (TMHP) is committed to
assisting physicians and their staff in remaining up-to-date on polices and
procedures to ensure successful claims submission and reimbursement. Register
for the Focusing on Physicians workshop for more information on how to submit
Medicaid claims.
This free workshop will increase physicians’ understanding of billing for
physician services, outline how to prevent the problems physicians most often
encounter when filing Medicaid claims and educate physicians on available
resources for assistance.
Our goals are to:
- Focus on physician services: consultations, surgery, OB/GYN, family planning, therapy, telemedicine, lab, and radiology services.
- Detail the roles and responsibilities of the Medicaid team
- Explain National Provider Identifier (NPI) requirements
- Explain website options and benefits
- Review Primary Care Case Management (PCCM)
Focusing on Facilities
The Texas Medicaid & Healthcare Partnership (TMHP) is committed to assisting hospitals and their billing staff in becoming more efficient in their claim submission and understanding of Texas Medicaid billing policies. Getting your claims processed quickly and accurately is what the Focusing on Facilities Hospital Billing Workshop is about. This workshop will increase hospital billing staff’s understanding of the claims submission rules and guidelines and will focus on preventing the problems hospitals most often encounter when filing Medicaid claims.
- General Medicaid Principles
- NPI updates
- Reimbursement methodologies
- Policies for inpatient services
- Common claims filing errors
- Medicaid waste, fraud, and abuse
- HHSC appeals
- Resources for Medicaid information
Texas Health Steps (THSteps) Medical
Texas Health Steps (THSteps) services are important to the children and adolescents of Texas. This free workshop, presented by the Texas Medicaid & Healthcare Partnership (TMHP), will reinforce THSteps providers’ understanding of all components of the THSteps medical checkup. Possible solutions to problems THSteps providers most often encounter when billing for medical checkup services will also be discussed.
The goals of the Caring for Young Texans THSteps Medical Checkup Workshop are to:
- Enhance providers’ understanding of the THSteps medical checkup and its components.
- Discuss how to properly file a claim and provide information about additional claims filing training sessions.
- Educate providers on services outside of THSteps.
- Provide an update on the National Provider Identifier (NPI).
- Detail exciting new THSteps resources for providers.
Texas Health Steps (THSteps) Dental
Texas Health Steps (THSteps) services are important to the children and adolescents of Texas. This free workshop, presented by the Texas Medicaid & Healthcare Partnership (TMHP), will reinforce THSteps providers’ understanding of all components of THSteps dental services. Possible solutions to problems THSteps providers most often encounter when billing for dental services will all be discussed.
The objectives of the Keep Kids Smiling THSteps Dental Workshop are to:
- Introduce providers to the Texas Medicaid Program
- Describe providers’ roles and responsibilities
- Help providers understand the various ways to verify client eligibility
- Educate providers on dental policy, prior authorization requests, claim/appeal submission, and claim tracking
- Provide an update on the National Provider Identifier (NPI)
- Discuss Medicaid waste, abuse, and fraud
- Increase awareness of available resources
Family Planning Titles V, X, XX & Title XIX
The Texas Medicaid & Healthcare Partnership (TMHP) knows how important family planning services are to the people of Texas and is committed to ensuring family planning providers’ claims are processed quickly and accurately. That's what the Family Planning Workshopsare all about. These free workshops will review covered family planning services, give an overview of the claims filing process, and discuss the billing problems family planning providers most often encounter.
These workshops are provided in two sessions: a morning session for Titles V, X, and XX and an afternoon session for Title XIX. Please indicate on your workshop registration if you will attend both or the morning or afternoon session.
The goals of the Family Planning Workshops are to:
- Explain family planning services for Title V, X, XIX and XX Programs
- Emphasize the importance of data collection using Claim Form 2017
- Review sterilization consent policies
- Provide an overview and explain how to use the Remittance and Status report
- Explain the appeals and adjustments process
- Review the new Women’s Health Program (WHP) waiver
- Review the latest National Provider Identifier updates
Success with CSHCN Services Program
At TMHP, we want to make sure your claims for Children with Special Healthcare Needs (CSHCN) Services Program are processed quickly and accurately. That’s why TMHP is presenting the Success with the CSHCN Services Program workshop in your area. This workshop will reinforce CSHCN Services Program provider’s understanding of the claims filing process and will focus on the problems Program providers most often encounter when filing claims. This workshop will be beneficial for both providers and their billing staff.
Attendees will receive valuable information on the following topics:
- CSHCN Services Program Team
- National Provider Identifier (NPI) Update
- Provider Enrollment and Responsibilities
- CSHCN Services Program Eligibility
- Eligible Provider Types and Benefits
- Authorizations and Prior Authorizations
- Claims and Appeals Submission Guidelines
Home Health/DME Workshop
TMHP knows how important Home Health services are to the people of Texas and is committed to ensuring Home Health provider’s claims are processed quickly and accurately. This free workshop will give providers an overview of the services available through the Home Health program such as skilled nursing visits and Durable Medical Equipment (DME). Services available through the Comprehensive Care Program (CCP) such as Personal Care Services (PCS) and Private Duty Nursing (PDN) will all be reviewed.
Objectives:
The goal of the Home Health/DME Workshop is to:
- Introduce providers to the Medicaid Home Health and DME benefit
- Introduce providers to the services available through the Comprehensive Care Program
- Provide National Provider Identifier (NPI) updates
- Describe providers’ roles and responsibilities
- Assist providers in achieving greater efficiency in their claim submission and claim tracking
- Educate providers on claims filing and payment deadlines
- Help providers understand the various ways to verify client eligibility
- Discuss Medicaid waste, abuse and fraud
- Increase awareness of available resources
Outpatient Behavioral Health
Caring for them is what you do best. And at Texas Medicaid Healthcare Partnership (TMHP), we want to make sure your claims for outpatient behavioral health services are processed quickly and accurately.
That’s why TMHP is presenting the 2008 Outpatient Behavioral Health Workshops in your area. This free workshop introduces providers and their billing staff to Medicaid claims filing for outpatient behavioral health services. Attendees of this free workshop will gain an understanding of successful claims filing strategies and policy as it relates to outpatient behavioral health services.
Attendees will receive valuable information on the following topics:
- Provider responsibilities
- Eligibility verification
- Benefits and limitations
- Prior authorization guidelines
- Billing guidelines
- Updates on the Health Information Portability and Accountability Act and National Provider Identifier
Long Term Care RUG Workshop for Community Waiver Program
On September 1, 2008, we’re changing the way providers assess participants in the Medicaid Community Waiver Program. On this date, Long Term Care will transition from the Texas Index for Level of Effort (TILE) reimbursement methodology to using Resource Utilization Groups (RUGs) for reimbursement of Medicaid services. To prepare you for this transition, the Texas Medicaid & Healthcare Partnership (TMHP) is presenting the Long Term Care RUG Workshop for Community Waiver Programs. This free workshop provides information regarding the assessment submission process for medical necessity determination and reimbursement, as well as the transition guidelines for the change from TILEs to RUGs.
The goals of this workshop are to:
- Provide an overview of the TILEs to RUGs transition
- Highlight the new rules and various changes
- Inform providers on how TILE scores will transition to RUG values
- Discuss the benefits of using the Long Term Care Online Portal
- Educate Community Waiver providers on their roles and responsibilities
Long Term Care RUG/MDS Nursing Facility/Hospice Provider Workshop
On September 1, 2008, Long Term Care will transition from the Texas Index for Level of Effort (TILE) reimbursement methodology to using Resource Utilization Groups (RUGs) for reimbursement of Medicaid services. To prepare you for this transition, the Texas Medicaid & Healthcare Partnership (TMHP) is presenting the Long Term Care RUG/MDS Nursing Facility/Hospice Provider Workshop. This free workshop provides the information about the assessment submission process for medical necessity determination and reimbursement, as well as the transition guidelines for the change from TILEs to RUGs.
The goals of this workshop are to:
- Provide an overview of the TILEs to RUGs transition
- Highlight the new rules and various changesHighlight the new rules and various changes
- Inform providers on how TILE values will transition to RUG values
- Instruct providers on how to submit the Minimum Data Set (MDS) data and State-specific information
- Discuss the benefits of using the Long Term Care Online Portal
- Educate Nursing Facility and Hospice providers on their roles and responsibilities
Long Term Care TexMedConnect Workshop
On November 12, 2007, TMHP introduced a new web-based application, TexMedConnect that allows Long Term Care (LTC) providers to submit their claims electronically using their National Provider Identifier (NPI). TexMedConnect enables faster processing of claims for all LTC services.
TMHP is committed to ensuring that LTC providers are equipped to use this new tool with minimal impact to their business. That’s why TMHP is offering the free LTC TexMedConnect Workshop. This workshop is designed for electronic billers, but paper billers will benefit as well.
Attendees of this workshop will learn how to navigate the TexMedConnect application and how to use their NPI and related data to utilize these important functions:
- Web Portal SecurityProvide an overview of the TILEs to RUGs transition
- Medicaid Eligibility and Service Authorization Verification (MESAV)
- Claims Submission
- Claims Status Inquiry
- Adjustment Submissions
- Electronic Remittance and Status Reports
Acute Care Provider TexMedConnect Workshop
In August 2007, TMHP introduced TexMedConnect, a new and improved web-based claims filing application located on the TMHP website (www.tmhp.com). Only those providers who have attested their NPI are able to access TexMedConnect.
TexMedConnect uses current technology to speed the submittal of claims and other transactions for the following services:
- Medical services
- Vision services
- Dental services
- Family Planning services
- Inpatient and outpatient services
TMHP is committed to helping you learn how to use TexMedConnect with minimal impact to your practice. Workshop attendees will learn how to navigate through the TMHP website and how to use their NPI and related data to use the following important website functions:
- Website security
- Eligibility verification
- Claims submission and appeals
- Claims status inquiry
- Electronic Remittance and Status reports
Provider Workflow Webinar / Q & A Conference Calls - Registration Now Open
Information posted November 7, 2008: TMHP will implement Long Term Care (LTC) Online Portal enhancements for a new Provider Workflow effective November 14, 2008. Provider Workflow webinars and educational materials are available separately for Nursing Facility providers and Community Waivers providers. The question-and-answer (Q&A) webinar / conference calls are available to providers to address any questions regarding the Provider Workflow. Providers are expected to have read the educational materials prior to attending a webinar Q&A session. The sessions are not a training delivery but rather an opportunity for providers to ask questions based on reading the educational materials.
This is a Q & A session only. Questions can be submitted ahead of time to workshopquestions@tmhp.com or during the workshop using webinar capabilities. For questions regarding workshop registration call 1-800-925-9126. Check in will be held 15 minutes prior to the starting times listed on the registration site.
Login information is specific for each session. Registrants should click on the appropriate link below for specifics on connecting to the webinar:
The training materials can be downloaded from here. Register for a workshop at here. Webinar access and conference line details will be emailed to the email address provided in your registration.
Related information letters 2008-159 and 2008-160 are at the following links: IL2008-159 and IL2008-160.