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.
Reminder: Providers should not share their TMHP portal security account login and password credentials with any Medicaid entity or staff including managed care organizations, dental maintenance organizations, or TMHP representatives. It is the responsibility of the provider to protect their data and confidential security account access.
For more information, call the TMHP Contact Center at 800-925-9126, Option 4 for the Electronic Data Interchange help desk or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.