NDC Reminder for All Providers

Information posted January 28, 2008: TMHP is reminding Medicaid fee-for-service, Primary Care Case Management (PCCM), Family Planning, and Children with Special Health Care Needs (CSHCN) Services Program providers that, as of January 1, 2008, all professional and outpatient claims with physician-administered prescription drug procedure codes that are currently listed on the Palmetto GBA “NDC to HCPCS Crosswalk” must be submitted using the appropriate associated National Drug Code (NDC) for payment consideration. If providers have submitted claims without the NDC and have received denials, providers may appeal their claims by adding the appropriate NDC code on their claim as outlined in the January/February 2008 Texas Medicaid Bulletin, No. 212, on page 10. For more information, please call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.