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Reminder: Beginning March 1, 2022, HCS and TxHmL Programs to Submit Claims and Forms to TMHP

Last updated on 1/21/2022

This article has been updated. For the updated information, click here.

Beginning March 1, 2022, Home and Community-based Services (HCS) and Texas Home Living (TxHmL) program providers, Local Intellectual and 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).

To successfully submit claims and forms to TMHP, program providers, LIDDAs, and FMSAs will need to complete setting up the necessary accounts.

Account Creation Resources

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)

Failure to set up the necessary accounts can lead to delays in payment after March 1, 2022. 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

Note: Providers should continue to submit claims in the Client Assignment and Registration (CARE) system for dates of service prior to March 1, 2022.

Webinars and Training Resources

Program providers, LIDDAs, and FMSAs are strongly encouraged to attend the HCS and TxHmL Webinars in February and March. Registration information and details about the webinars can be found here.

It is highly recommended that program providers, LIDDAs, and FMSAs create a TMHP LMS account at learn.tmhp.com before the webinar to access current training related to the LTC Online Portal and claims submissions. New TMHP LMS users can access the Learning Management System (LMS) Registration and Navigation Job Aid for Providers located on the LMS homepage or email TMHP Training Support for help creating an LMS account or navigating the LMS.

Suggested training resources include:

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