Claim Appeals for Medicaid
How and when to appeal a claim, and when to escalate an appeal.
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Introduction to Medicaid Basics Webinar
The Introduction to Medicaid Basics webinar contains basic information for providers regarding policies and procedures related to Medicaid, CSHCN Services Program, and other State Health-care clients.
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Prior Authorization Webinar
The Prior Authorization (PA) Webinar is intended to educate Texas Medicaid and Children with Special Health care Needs (CSHCN) Services Program providers on prior authorization guidelines, processes, requirements, and tools available for submitting prior authorizations.
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PA on the Portal Webinar
This webinar contains an overview of the new enhanced PA on the Portal, including an overview of the enhancements, navigation, and functions of PA on the Portal.
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Long-Term Care (LTC) Community Services Waiver Programs Webinar
This webinar includes information about the LTC Online Portal, the MN/LOC 3.0 Assessment, Long Term Care Medicaid Information (LTCMI), Medical Necessity (MN), and printing, completing, and inactivating Assessments.
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Texas Health Steps
Texas Health Steps CBT contains information on topics that will demonstrate how the Texas health Steps program is building brighter futures by caring for Texas children.
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Prior Authorization (PA) on the Portal
This CBT contains an overview of PA on the Portal.
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Ambulance Basics CBT
The Ambulance Basics CBT contains information for regarding policies and procedures for providing ambulance transports for Medicaid and CSHCN Services Program clients.
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EVV Acronyms
The EVV Acronyms infographic provides definitions to frequently used acronyms related to Electronic Visit Verification (EVV).
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Long-Term Care (LTC) TexMedConnect
This CBT contains information about using TexMedConnect to verify client eligibility, enter and submit claims and appeals, and find claim status.
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Paper Claim Forms
This CBT discusses procedures and general guidelines for submitting paper claims. This CBT does not discuss electronic claim submission. Refer to the TexMedConnect for Acute Care Providers CBT for information regarding electronic claim submission.
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Crossover Claims
The Crossover Claims CBT provides an overview of the process for submitting claims and receiving reimbursement when a client has both Medicare and Medicaid.
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Long-Term Care (LTC) Preadmission Screening and Resident Review (PASRR) Webinar
This webinar includes information about the Preadmission Screening and Resident Review (PASRR). It discusses the PASRR Level 1 (PL1) and PASRR Evaluation (PE), the Interdisciplinary Team (IDT) Meeting tab, and the PASRR Comprehensive Service Plan (PCSP).
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Claim Appeals for CSHCN
The purpose of this CBT is to define an appeal, list the types of appeals, and describe how and when to submit an appeal for CSHCN program providers.
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Long-Term Care (LTC) Hospice Form 3071 Election/Cancellation/ Discharge Notice and 3074 Physician Certification of Terminal Illness Webinar
This webinar discusses how to fill out, submit, and correct Forms 3071 and 3074.
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Long-Term Care (LTC) Forms 3618 Resident Transaction Notice and 3619 Medicare/Skilled Nursing Facility Patient Transaction Notice Webinar
This webinar discusses how to fill out, submit, correct, and inactivate Forms 3618 and 3619.
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Long-Term Care (LTC) Nursing Facility MDS Assessment and LTCMI Webinar
This webinar discusses information regarding the Minimum Data Set (MDS) Assessment and Long Term Care Medicaid Information (LTCMI), Purpose Codes E and M, and saving the LTCMI section of the MDS Assessment.
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TMHP Website Navigation Webinar
The TMHP Website Navigation Webinar contains information for Medicaid and CSHCN Services Program providers regarding use of TMHP's website TMHP.com.
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Remittance and Status Report
The Remittance and Status Report CBT contains information for providers regarding how to access R&S Reports, including a description of the different sections of the R&S Report.for Medicaid and CSHCN Services Program Clients.
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Provider Revalidation Webinar
This webinar discusses the Provider Revalidation application, and how to complete the application via the PEP tool.
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Health and Human Services Commission (HHSC) Family Planning Program CBT
This CBT provides an overview of the rules, regulations, responsibilities for the program. It is intended for HHSC Family Planning Program providers. This CBT is not for Medicaid providers that provide family planning services through Medicaid.
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Durable Medical Equipment (DME)
This CBT will introduce providers to the basics of enrolling and providing services and goods as a Medicaid DME provider.
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Third Party Liability
The Third-Party Liability (TPL) CBT discusses components of TPL, including cost avoidance, cost recovery, tort, and claims, appeals, and reimbursements.
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Client Eligibility
The Client Eligibility CBT will help providers identify client eligibility, retroactive eligibility, and benefits related to various programs. This training also includes methods used to verify eligibility and where to find this information.
