Gain essential knowledge to navigate the Durable Medical Equipment (DME) program. Learn provider enrollment, client eligibility, benefit limits, prior authorizations, service delivery, and more—ensuring seamless support for your Medicaid clients.
This User Guide is designed to provide information to LTC Providers regarding the completion and submission of NF Forms 3618, 3619, and MDS/LTCMI.
HHSC OIG Utilization Review allows certain hospital providers to use digital submissions to minimize the submission of paper medical records and to improve efficiency. Learn how to submit documentation in a few easy steps.
This CBT contains information about using TexMedConnect to verify client eligibility, enter and submit claims and appeals, and find claim status.
This Quick Reference Guide is designed to assist LTC providers in accessing, understanding, and reconciling their Remittance and Status Reports.
Discover key components and the significance of Hospice Forms 3071/3074 in this high-level overview.
Enhance your understanding of the NF Forms 3618/3619 and MDS/LTCMI with a clear, high-level overview.
Discover Medicaid Essentials—your go-to resources for healthcare providers and administrative staff new to Medicaid. Gain a solid understanding of Medicaid’s purpose, eligibility, and key components to navigate processes and ensure compliance with ease.
This User Guide is for providers who wish to learn about the Long Term Care (LTC) Community Waiver Programs.
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).
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 for providers.
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. Demonstrations and simulations are available to provide opportunities...
This CBT includes information about the Medical Necessity (MN), MN/LOC 3.0 Assessment, Long Term Care Medicaid Information (LTCMI), resubmitting and inactivating Assessments.
This User Guide is designed to assist Nursing Facility providers and Local Authorities as they navigate through the Preadmission Screening and Resident Review (PASRR) process.
Designed for both new and experienced providers, this focused training equips you with essential knowledge and real-world scenarios for handling Texas Medicaid ambulance clients. Review key terminology and guidelines to navigate the landscape of Texas Medicaid Ambulance Services.
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.
The PA on the Portal Submission Guide sets forth the procedures for online prior authorization requests, using the Texas Medicaid & Healthcare Partnership's (TMHP's) Prior Authorization (PA) on the Portal system.
This training provides a comprehensive look at the CSHCN Services Program. You'll learn about the clients, benefits, your responsibilities, prior authorizations, claims, appeals and more!
Learn how delivering behavioral health services using audio-only and audiovisual technology offers flexibility and safety. Infographics and a video explain the policies and procedures for effective service delivery.As mandated by House Bill 4, passed by the 87th Legislature, Regular Session...
This training provides information on how to fill out paper claim forms such as the CMS-1500, UB-04 CMS 1450, Family Planning 2017, and ADA Dental paper claim form.
This training provides information and scenarios on how to submit claims for reimbursement when a client is dual eligible for both Medicare and Medicaid benefits.
