If the Contact Center representative determines th at an inquiry can best be handled by the TMHP Provider Relations department, the inquiry will be forwarded to Provider Relations. Agents can assist with claims filing, financial inquiries, eligibility, and provider education. Providers may contact Molina Provider Services to obtain information regarding Claims, Complaints and Appeals, Member Eligibility, Benefits, Utilization Management, Quality Improvement, Prior Authorizations and Referrals. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. Texas Health Steps 877‑847‑8377 (8 a.m. to 6 p.m. Central Time, Monday to Friday) Health Insurance Premium Payment Program Send us an email by clicking the button below, or select from one of the available telephone lines. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. Make sure they know you or your child are on Medicaid or the CSHCN Services Program and that they have your client ID number. Representatives will assist with claim research, prior authorization information, policy, and billing. Option 6: Electronic Health Records (EHR) Incentive Program. The Contact Center is open from 7:00 a.m. to 7:00 p.m., Central Time, and can assist both providers and clients. Provider Services. Not a Community First Health Plans Provider? License to use CPT for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, 515 N. State Street, Chicago, Illinois, 60610. Links to each of these search methods are found at the top of the Online Provider Lookup pages. Agents can answer questions about maintenance of provider accounts, completing a Texas Medicaid program application, and policies that affect enrollment. Finding services in your area such as child care. Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Providers can call Provider Services at 1-800-454-3730, Monday through Friday from 8 a.m. to 7 p.m. Central time with questions about eligibility, benefits, claims, or any other issue. The Center for Medicaid and CHIP Services (CMCS) is committed to working in close partnership with states, as well as providers, families, and other stakeholders to support effective, innovative, and high quality health coverage programs. Send a secure email to HHSC at hpm_complaints@hhsc.state.tx.us Client Eligibility Lookup For current eligibility status, please enter 2 of the following 4 data elements for the Client: Patient Control Number state. Option 3: Provider Enrollment. Members can get oral interpretation services and information in other formats, like … Call your provider's office right away. Contact Us. Call or write us! For general inquiries and information about LTC claims, verification, and nursing facility forms. 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 not contained in this file/product. The bill should include: Name and client ID number or Social Security Number, Date and any amount of payments you have made on the account. Getting to the doctor, dentist or drugstore. For questions about benefit limitations for Medicaid services and client dental history. CPT is a registered trademark of American Medical Association. provider manual or website. select one of the following options: Option 1: Client Eligibility. End Users do not act for or on behalf of the CMS. Coughing. If the provider is not enrolled or you do not have coverage for the date(s) of service, you will be responsible for the bill. Create Account and link to a Long Term Care provider. For questions about provider enrollment. Member Services: 1-800-600-4441 (TTY 711) STAR Kids members: 1-844-756-4600 (TTY 711) Already a member? Children's Health Insurance Program (CHIP). UnitedHealthcare is here to help providers who may need information, service or support on network management, provider contracting and more. This product includes CPT which is commercial technical data and/or computer databases and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. If you still need help: STEP 2: Contact HHSC. Option 8: Third Party Resource (TPR). For a menu of automated information available through the AIS system. Make a copy of the bill. Applications are available at the American Dental Association web site, http://www.ADA.org. (7 a.m. to 7 p.m. Central Time, Monday to Friday). You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. Contact Provider Services for information or questions on benefits, claims, authorizations and billing inquiries. For EDI Help Desk assistance with TexMedConnect access and EDI issues, such as: resetting passwords, Internet requirements, EDI enrollments, transmission verifications, file rejections, software requests, file resets, technical problems within the TMHP website, and electronic Remittance and Status (ER&S) Report downloads. If possible, include the name of the person you spoke with at the provider's office. For inquiries requiring the assistance of a TMHP nurse. Please note: that additional credentialing is not required for those providers already credentialed in the STAR, CHIP, or STAR Kids networks and whose credentialing is current. If you think you might have been exposed, contact a doctor immediately. All other users can search for fees by provider type and specialty. The TMHP Contact Center is staffed with agents that are knowledgeable about Texas Medicaid, the Children with Special Health Care Needs (CSHCN) Services Program, Healthy Texas Women (HTW) and the Family Planning Program. If you do not agree to the terms and conditions, you may not access or use the software. Here you'll find phone numbers, addresses, emails and other contact information to help support providers. Option 5: Benefit Limitations and Dental History. Log in to your account and send us a message. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "ACCEPT". The following options are available: Option 1: Automated transactions. Option 6: Other Insurance. Healthy Texas Women (HTW): HTW women's health and family planning services: Other Services Offered: Federal Re-enrollment Complete: Federal Re-enrollment Date: Providers - Click here to update your information. By mail—find the correct address in the “appeals” section of the Texas Medicaid Provider Procedures Manual . Option 3: Authorizations. Ambetter from Superior HealthPlan. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government Use. Providers must call the TMHP-CSH CN Services Program Contact Center at 1-800-568-2413 to speak to a representative who can answer questions. The NPI is the National Provider Identifier, and is a unique identification number provided to facilities and other medical entities. Option 3: Authorizations. 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. or Insurance Premium Payment Assistance questions, TMHP HIPP/IPPA Client Helpline800‑440‑0493 2. BY CLICKING BELOW ON THE BUTTON LABELED "ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD, AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. Medicaid Helplines800‑335‑8957 and 800‑252‑8263 For a menu of automated information available through the AIS system. If you are a Texas Medicaid Provider you must create a Provider Administrator account to access these secure functions. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. For questions about EVV. 877-888-2350 Aetna Better Health of Texas is not responsible or liable for non-Aetna Better Health content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Network providers must update their enrollment and demographic information with Texas Medicaid Healthcare Partnership (TMHP) beginning April 1, 2021. Welcome to the LogistiCare web site for Texas Medicaid clients, medical providers and non-emergency medical transportation providers. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. Enroll as a Texas Medicaid Provider/Vendor. Provider Relations: 800-341-8478 Join Our Networks: Visit our Dentists' page. Members should call Member Services with any questions. 3. For accounts receivable, payment status, and check history information. Click here for more information. In the event of an outage contact Provider Relations at 888-243-3312 or CCHPProviderRelations@cookchildrens.org If the provider is enrolled and you are covered for the date(s) of service, follow these steps: Client Correspondence To check the status of your submission, call... Medicaid Helpline CDT is a trademark of the ADA. Applications are available at the American Medical Association website, www.ama-assn.org/go/cpt. 800-335-8957 Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. 800-925-9126. or write to: TMHP, Complaints Resolution Department PO Box 204270, Austin, TX, 78720-4270. Get And Sign Texas Medicaid Provider Enrollment Application TMHP com 2014-2021 Form . For other complaints such as provider enrollment and re-enrollment, or traditional Medicaid claims: Call. This Agreement will terminate upon notice if you violate its terms. Option 1: General inquiries. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "accept". LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT® "). U.S. GOVERNMENT RIGHTS. Option 2: Claims Status. Tell us if you or your children have any special needs, like a wheelchair or a walker, so we can send the right type of vehicle. Give us the name, address and phone number of the doctor, dentist office, drug store or place you plan to go. For questions about a Medicaid client’s other insurance information, assistance with other insurance verification, and other insurance updates. Is Medicare Provider Number same as NPI? Contact Us. Option 4: Telephone Appeals. Option 6: Accounts Receivable and Financial Transactions. Some Medicaid client data was affected. The Contact Center is open from 7:00 a.m. to 7:00 p.m., Central Time, and can assist both providers and clients. Please contact the Provider Hotline at 800-214-4844 from 8:00AM – 5:00PM, Monday – Friday. Providers who have an account on TMHP.com can log into their accounts to search for the fees that apply specifically to them. Providers can choose from the following options: Option 1: Automated inquiries.