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Upcoming Lunch and Learn New Provider Responsibilities Webinars February 11, 2021 and February 18, 2021

Last updated on 1/8/2021

TMHP has updated this article. Please click here to view the latest update.

Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details.

On February 11, 2021, and February 18, 2021, TMHP will conduct live webinars for newly enrolled Texas Medicaid providers.

The webinars will feature important information for new providers to ensure their success and compliance with Texas Medicaid. These webinars will also serve as a refresher for existing providers.

Topics Covered in Part 1

  • Introduction
  • Managed care organizations (MCOs) and dental maintenance organizations (DMOs)
  • Provider enrollment and additional enrollment opportunities
  • Provider revalidation
  • Provider responsibilities, including:
    • Health and Human Services Commission (HHSC) Medicaid Provider Agreement
    • Terms to know
    • Maintenance of provider information
    • Verifying client eligibility
    • Providing medically necessary services without discrimination
    • Medicaid fraud, waste, and abuse policy
  • TMHP resources available to providers

Topics Covered in Part 2

  • Introduction
  • Claim filing deadlines
  • Provider responsibilities, including:
    • General medical record documentation requirements
    • Contracted and noncontracted Medicaid Advantage Plans (MAPS)
    • Third-party liabilities (TPL)
    • Billing to clients
  • TMHP resources available to providers


Live lunch and learn webinar Thursday, February 11, 2021, 12:00 p.m. – 1:00 p.m., Central Time

Live lunch and learn webinar Thursday, February 18, 2021, 12:00 p.m. – 1:00 p.m., Central Time

For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-Children with Special Health Care Needs (CSHCN) Services Program Contact Center at 800-568-2413.