The Health and Human Services Commission and TMHP are working closely with the stakeholders representing physicians, hospitals, Federally Qualified Health Centers, and Rural Health Centers to address physician/provider issues about Primary Care Case Management (PCCM).

New features include: 1) Allowing new clients time to select a primary care provider upon enrollment; 2) New clients have a Medicaid Identification Form (H3087/3087) that lists either PCCNEWB01 (newborns) or PCCPCCM01 (all clients except newborns) as the primary care provider. With this listing, any PCCM enrolled primary care provider can render health care services to the client. 3) Clients must see the primary care provider on their Medicaid Identification Form. 4) Primary care providers must continue to provide their TPI numbers to specialists and after-hours clinics to ensure appropriate claims processing. Claims with invalid or missing provider numbers will be denied.