Effective July 1, 2019, TMHP has contracted with Trend Health Partners to perform credit balance and recovery audits.
Trend Health Partners is an employee-owned health-care consulting firm that assists with the resolution of credit balances and recovering overpayments on behalf of Texas Medicaid. Trend will review any current accounts with a credit balance status where both TMHP and a health insurance carrier made a primary or secondary payment for services in which the health insurance carrier was liable for payment before Medicaid.
TMHP will update the Texas Medicaid Provider Procedures Manual, Volume 1, Section 1, “Provider Enrollment and Responsibilities,” and the Children with Special Health Care Needs (CSHCN) Services Program Provider Manual, Chapter 2, “Provider Enrollment and Responsibilities,” to add information about Trend with the May release.
For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.