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HCS and TxHmL Programs: Don’t Delay Creating Accounts for Submitting Claims and Forms to TMHP

Last updated on 11/19/2021

Beginning March 1, 2022, Home and Community-based Services (HCS) and Texas Home Living (TxHmL) program providers, local intellectual developmental disability authority (LIDDA) agencies, and financial management services agencies (FMSAs) billing on behalf of consumer-directed services (CDS) employers will submit claims and forms to the Texas Medicaid & Healthcare Partnership (TMHP). It’s important that HCS and TxHmL program providers, LIDDAs, and FMSAs set up their accounts as soon as possible to avoid any delays in payment after March 1, 2022. Program providers, LIDDAs, and FMSAs are strongly encouraged to set up the following accounts if they have not already done so:

  • Claims Submission Account
    • TexMedConnect or
    • Electronic Data Interchange (EDI)
  • Long-term Care (LTC) Online Portal
  • TMHP Learning Management System (LMS)

Program providers, LIDDAs, and FMSAs can find resources for creating the necessary accounts and the time frames it could take to create those accounts in the following table.

What You’ll Use

What It Does

Account Setup Resource

Time Frame

TexMedConnect

Allows users to submit claims

TMHP Account Setup for HCS and TxHmL Waiver Programs

Can take up to 10 days

EDI

Allows users to submit claims through a third-party submitter or a provider’s own software

Updated 837P LTC Companion Guide Now Available for HCS and TxHmL Program Claims Submission Practice

Can take up to 30 days

LTC Online Portal

Allows users to submit, view, and manage forms

TMHP Account Setup for HCS and TxHmL Waiver Programs

Can take up to 3 days

TMHP LMS

Allows users access to important TMHP training materials

Learning Management System (LMS) Registration and Navigation Job Aid for Providers

1 day

For additional questions, providers can refer to the HCS and TxHmL Waiver Programs Frequently Asked Questions (FAQ), or contact the TMHP EDI Help Desk at 888-863-3638.