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.
Due to power outages and inclement weather throughout Texas, TMHP has rescheduled Part 2 of the New Provider Responsibilities Webinar for March 4, 2021. Providers who registered for the webinar originally scheduled for February 18, 2021, do not need to re-register.
The webinar will feature important information for newly enrolled Texas Medicaid providers to ensure their success and compliance with Texas Medicaid. The webinar will also serve as a refresher for existing providers.
Topics Covered in Part 2
- Claim filing deadlines
- Provider responsibilities including:
- General medical record documentation requirements
- Contracted and noncontracted Medicaid Advantage Plans
- Third-party liabilities
- Billing to clients
- TMHP resources available to providers
The live lunch and learn webinar is scheduled for Thursday, March 4, 2021, from 12:00 p.m. to 1:00 p.m., Central Time. Providers can register by clicking this link: attendee.gotowebinar.com/register/231515777988411918?source=PN
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.