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Welcome Texas Medicaid Providers | TMHP

    https://www.tmhp.com/
    The sole responsibility for the software, including any CDT and other content contained therein, is with TMHP or the CMS; and no endorsement by the ADA is intended or implied. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or ...
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TexMedConnect and My Account Guides | TMHP

    https://www.tmhp.com/resources/texmedconnect
    My Account My Account is the main account that all providers must have to use any of TMHP's portals, including Prior Authorization on the Portal, Provider Enrollment on the Portal, and TexMedConnect. For more information about how to setup and use My Account, providers can refer to: TMHP Portal Security Training Manual
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    https://www.tmhp.com/resources/texmedconnect

Coming Soon: TMHP Provider Enrollment and Management ...

    https://www.hhs.texas.gov/provider-news/2021/11/03/coming-soon-tmhp-provider-enrollment-management-system-pems
    The Texas Medicaid & Healthcare Partnership's (TMHP) Provider Enrollment and Management System (PEMS) is coming soon. Provider enrollment functions will be available through PEMS, and providers must use the new system to enroll in Texas Medicaid. The new system will be the single tool for provider enrollment, reenrollment, revalidation, and maintenance requests (maintaining and updating ...
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    https://www.hhs.texas.gov/provider-news/2021/11/03/coming-soon-tmhp-provider-enrollment-management-system-pems

Provider Enrollment and Management System (PEMS) | TMHP

    https://www.tmhp.com/topics/provider-enrollment/pems/start-application
    These pages will guide you through the process of enrolling as a provider using TMHP's Provider Enrollment and Management System (PEMS) tool. Additional helpful resources are available on the Enrollment Help page and the TMHP YouTube channel. To begin, please select the type of application you will be completing.
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    https://www.tmhp.com/topics/provider-enrollment/pems/start-application

login Script Portlet - Provider Login

    https://providers.tufts-health.com/thp/portal/providers/login/!ut/p/z1/04_Sj9CPykssy0xPLMnMz0vMAfIjo8zizf1NjTwMvA283N0tDA0cTb2DvM18XIzcDU31wwkpiAJKG-AAjgZA_VGElBTkRhikOyoqAgBGH_GE/dz/d5/L2dBISEvZ0FBIS9nQSEh
    X. Provider Portal Account Login. Username Forgot? Password Forgot? Don't have an account yet? Register Here. Siteminder.
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    https://providers.tufts-health.com/thp/portal/providers/login/!ut/p/z1/04_Sj9CPykssy0xPLMnMz0vMAfIjo8zizf1NjTwMvA283N0tDA0cTb2DvM18XIzcDU31wwkpiAJKG-AAjgZA_VGElBTkRhikOyoqAgBGH_GE/dz/d5/L2dBISEvZ0FBIS9nQSEh

Prior Authorization | TMHP

    https://www.tmhp.com/topics/prior-authorization
    Prior authorization is a type of approval that is required for many services that providers render for Texas Medicaid. If a service requires prior authorization but the request for prior authorization is not submitted or is denied, the claim will not be paid.
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    https://www.tmhp.com/topics/prior-authorization

Texas Medicaid Provider Procedures Manual | TMHP

    https://www.tmhp.com/resources/provider-manuals/tmppm
    The Texas Medicaid Provider Procedures Manual was updated on March 31, 2022, and contains all policy changes through April 1, 2022. The manual is available in both PDF and HTML formats. Claim form examples referenced in the manual can be found on the claim form examples page.. See the release notes for a detailed description of the changes. For previous editions of the manual, visit the manual ...
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    https://www.tmhp.com/resources/provider-manuals/tmppm

Long-term Care Bill Code Crosswalks | Texas Health and ...

    https://www.hhs.texas.gov/providers/long-term-care-providers/long-term-care-provider-resources/long-term-care-bill-code-crosswalks
    This crosswalk is to be used when HCS and TxHmL providers submit claims in TMHP TexMedConnect or Electronic Data Interface (EDI) with DOS beginning 05-01-2022. MS Excel Format. Please note: This bill code crosswalk will be effective May 1, 2022 and will be used by TMHP Claims Management System for DOS May 1, 2022 and later.
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    https://www.hhs.texas.gov/providers/long-term-care-providers/long-term-care-provider-resources/long-term-care-bill-code-crosswalks

Medicaid and CHIP Services Information for Providers ...

    https://www.hhs.texas.gov/services/health/coronavirus-covid-19/coronavirus-covid-19-provider-information/medicaid-chip-services-information-providers
    Read the TMHP bulletin issued on November 15, 2021. Effective October 29, 2021, vaccine administration procedure codes 0071A and 0072A are benefits of Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program for individuals 5 through 11 years of age. Read the TMHP bulletin issued on November 18, 2021.
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    https://www.hhs.texas.gov/services/health/coronavirus-covid-19/coronavirus-covid-19-provider-information/medicaid-chip-services-information-providers

Texas DSHS HIV/STD Program - Texas HIV Medication Program

    https://www.dshs.texas.gov/hivstd/meds/
    The Texas HIV Medication Program (THMP) provides medications for the treatment of HIV and its related complications for low-income Texans. To qualify for medications, potential clients who meet eligibility criteria complete an application for assistance. Once approved, a client receives medications at an assigned pharmacy in their community.
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    https://www.dshs.texas.gov/hivstd/meds/

TMHP LTC and HHSC IDD Operations Portal For Providers ...

    https://twogetherconsulting.com/hhsc-idd-operations-portal-for-providers/
    Sign Up Here button beneath the login field. HCS and TxHmL providers that use third-party software and third-party vendors to submit claims can register for the TMHP Electronic Data Interchange (EDI). Providers wanting to use EDI will need to complete software testing on the TMHP EDI Testing website.
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    https://twogetherconsulting.com/hhsc-idd-operations-portal-for-providers/

Provider Finance Communications | Provider Finance Department

    https://pfd.hhs.texas.gov/provider-finance-communications
    The information included on this webpage includes communications sent out by HHSC Provider Finance (formerly Rate Analysis), meeting materials, GovDelivery archives and other reference information. Any questions should be directed to [email protected]
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    https://pfd.hhs.texas.gov/provider-finance-communications

TMHP Electronic Visit Verification (EVV) CBT - TMHP Learning

    https://tmhp.exceedlms.com/student/path/483564-tmhp-electronic-visit-verification-evv-cbt
    The Electronic Visit Verification (EVV) CBT presents information that will provide training on the functions of the EVV Aggregator and EVV Portal. In order to receive credit, you must open the Course Completion item for each module and click the Mark as Complete button to acknowledge course completion. The Mark as Complete button will not appear if you have previously completed the activity.
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    https://tmhp.exceedlms.com/student/path/483564-tmhp-electronic-visit-verification-evv-cbt

CAPPS - Texas

    https://fmx.cpa.texas.gov/fmx/capps/
    A CAPPS HR/Payroll user group meeting will be held April 26, 9 - 11 a.m.. A CAPPS Financials user group meeting will be held April 28, 9 - 11 a.m.. See CAPPS HR/Payroll User Group Meetings or CAPPS Financials User Group Meetings for more information. The agenda and meeting materials will be available the morning of the meeting.
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    https://fmx.cpa.texas.gov/fmx/capps/

Medical Transportation Program - TMHP Learning

    https://tmhp.exceedlms.com/student/path/353625-medical-transportation-program
    Published: Sep 7, 2021. Duration 35m. Materials in this learning path can help you understand the following about the MTP: • Main entities involved. • General services offered. • Referring clients to the MTP Services Request Line. • Joining MTP as a provider. • Claims process. • Resources.
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    https://tmhp.exceedlms.com/student/path/353625-medical-transportation-program

Portal for Members | Login | Superior HealthPlan

    https://www.superiorhealthplan.com/login.html
    To enter our secure portal, click on the login button. A new window will open. You will be able to login or register. Creating an account is free and easy. Member Portal. By creating a Superior HealthPlan account, you can: Request a new Member ID Card. Update your personal information. Send us a message.
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    https://www.superiorhealthplan.com/login.html

Long-Term Care (LTC) User Guide for Online ... - Intellum

    https://tmhp.exceedlms.com/student/activity/354824-long-term-care-ltc-user-guide-for-online-portal-basics-general-information-and-program-resources
    This User Guide is designed as a resource for LTC Providers. The guide covers program general information, the procedures for successfully navigating the LTC Online Portal, and various resources that providers may access to assist in the performance of their duties.
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    https://tmhp.exceedlms.com/student/activity/354824-long-term-care-ltc-user-guide-for-online-portal-basics-general-information-and-program-resources

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