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Update to “Clarification to ‘Electronic Submission Option for MAP Crossover Claims to Be Available December 9, 2024’”

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This is an update to the article titled “Clarification to ‘Electronic Submission Option for MAP Crossover Claims to Be Available December 9, 2024’” that was published on this website on November 25, 2024. The update is that electronic appeals and adjustments for Medicare crossover claims are not allowed. Providers can refer to the Texas Medicaid Provider Procedures Manual, Vol. 1 Appeals, subsection 7.1.1.2, “Disallowed Electronic Appeals,” and subsection 7.1.5, “Paper Appeals,” for more information.

For more information, call the TMHP Contact Center at 800-925-9126.