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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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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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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TexMedConnect for Long-Term Care (LTC) Providers
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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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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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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Claim Appeals for Medicaid
How and when to appeal a claim, and when to escalate an appeal.
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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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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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Third Party Liability
The Third Party Liability (TPL) computer-based training (CBT) educates providers on TPL, identifying other insurance and third party resources (TPRs), and responsibilities for filing claims and reporting other insurance and TPR to TMHP.
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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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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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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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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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Medical Transportation Program
This CBT discusses the basics of the MTP, including services offered, how potential MTP providers apply to the program, the claims process, and resources.
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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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Training Snapshot: Interim Claims
The purpose of the Interim Claims Training Snapshot is to assist Texas Medicaid and CSHCN Services Program providers to accurately submit interim claims.
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Training Snapshot: TexMedConnect Family Planning Claims on Professional - CMS1500
How to submit Family Planning claims on TexMedConnect using the Professional – CMS1500 claim form.
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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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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.
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Prior Authorization (PA) on the Portal
This CBT contains an overview of PA on the Portal.
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TMHP Portal Security Training Manual
This training manual provides detailed instructions on administrator and user functions and roles, activating a TMHP User account, managing user accounts and more.
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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.
