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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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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Claim Appeals for Medicaid
This CBT discusses how and when to appeal a claim, and when to escalate an appeal.
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Claim Forms CBT
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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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.
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Crossover Claims Training
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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CSHCN Services Program Basics
The CSHCN Services Program Basics CBT presents information that will provide new and current CSHCN Services Program providers with an overview of Provider responsibilities and client eligibility for the CSHCN program.
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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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Electronic Visit Verification (EVV)
Learn about topics related to the EVV Aggregator, EVV Portal, and Selecting and HHSC-approved EVV vendor.
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EVV Acronyms
The EVV Acronyms defines the most frequently used acronyms found in EVV training materials. The EVV Acronyms must be viewed prior to accessing the EVV learning path.
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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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Healthy Texas Women
The Healthy Texas Women (HTW) CBT presents information that will provide new and current HTW Program providers an overview of the HTW program, procedures, rules, and regulations.
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Long-Term Care (LTC) Online Portal Basics
This interactive training provides a basic overview of the Long Term Care (LTC) Online Portal including an overview of the features of the blue navigational bar and the yellow Form Actions bar.
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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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Medical Transportation Program
This learning path, including all materials, will help you understand how to enroll or register in the MTP program, how Demand Response (DR) providers can create and maintain a TMHP portal account, and how to file claims and appeals.
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Prior Authorization
This CBT is designed to provide a basic introduction to the Prior Authorization policies and procedures.
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Prior Authorization (PA) on the Portal
This CBT contains an overview of the new enhanced PA on the Portal.
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Provider Enrollment on the Portal
This course is designed to provide a basic introduction to Provider Enrollment on the Portal (PEP).
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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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Texas Health Steps Medical and Dental Services CBT
This CBT covers the basic information about the Texas Health Steps program, including provider responsibilities, eligibility, benefits, and claims.
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TexMedConnect for Acute Care Providers
This CBT provides information for Acute Care Providers CBT about using TexMedConnect to verify client eligibility, enter and submit claims and appeals, and find claim status.
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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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Training Snapshot: EOB Billed Amount Required
Information on Explanation of Benefits “Billed Amount Required” and how to troubleshoot this common claim denial.
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Training Snapshot: EOB Unable to Assign Program/Benefit Plan
Information on Explanation of Benefits “Unable to Assign Program/Benefit Plan” and how to troubleshoot this common claim denial.
