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Issue Identified with LTC Claims Statuses

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An issue has been identified that is causing unplanned delays in the Texas Health and Human Services Commission (HHSC) payment reconciliation, which has resulted in some Long-Term Care (LTC) claims to incorrectly remain in “approved” status. HHSC is working to resolve the issue. An updated article will be published on the TMHP website when the issue is resolved. 

It is recommended that providers experiencing this issue continue to check their Remittance and Status (R&S)/835 reports to track the progress of the reconciliation efforts. After these payments have been reconciled, all affected claims will be marked with a status of “paid and reported” on Non-Pending/835 R&S reports.