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TMHP to Update the Claims System to Match HHSC’s MAP and Dual Eligible Health Plans List

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Effective January 1, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) will update the claims system to match the list of Medicare Advantage plan (MAP) and dual-eligible health plans that is posted on the Texas Health and Human Services Commission’s (HHSC’s) website.

The list of approved MAPs and dual-eligible health plans that is provided in the “Resources” section on the Texas Health and Human Services' Managed Care Contract Management web page will be updated for 2025.

Providers who treat clients enrolled in MAPs or dual-eligible health plans must submit their claims to the MAPs or dual-eligible health plans before submitting the claims to TMHP for consideration.

For more information, call the TMHP Contact Center at 800-925-9126.