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.
Electronic funds transfer (EFT) payments could be delayed by one business day due to a payment processing issue that has been resolved at the Texas Health and Human Services Commission (HHSC). Providers receiving EFT payments can expect funds by Monday, August 30, 2021, at the latest.
For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.