This video highlights the critical role that providers play in preventing fraud, waste and abuse in Medicaid and other Texas state health care programs and reinforces the expectations of providers in fulfilling that obligation. This video also outlines the Texas...
The LTC Online Portal User Guides for HCS and TxHmL Waiver Programs contain information on how to submit, monitor, and manage assessments and forms using the LTC Online Portal.
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.
Simplify your workflow with TexMedConnect, the free, secure online tool designed for TMHP long-term care (LTC) providers. Enter, save, and submit claims, track statuses, make adjustments, and access R&S reports—all accessible anytime, anywhere.
Enhance your understanding of LTC Hospice Forms 3071 & 3074 with this interactive training. Gain a high-level overview, observe form submission demonstrations, and access the user guide for detailed program-specific insights. This training helps you learn how to simplify processes...
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 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 User Guide is designed to provide information to LTC Providers regarding the completion and submission of NF Forms 3618, 3619, and MDS/LTCMI.
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 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...
Take the LTC Community Service Waiver Programs eLearning to learn about Medical Necessity, MN/LOC 3.0 Assessment, RUG, Assessment Statuses, LTCMI, ISP, and provider resources. Acquire vital knowledge to enhance your service delivery and care quality.
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.
Learn how to submit, monitor, and manage forms and assessments for the Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/IID) program using the Long-Term Care Online Portal in this essential training.
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.
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.
The CSHCN Services Program Training helps providers serve children with special health care needs. It covers clients, benefits, enrollment, responsibilities, authorizations, claims, and appeals. Enhance your service delivery today!
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 offers essential best practices for paper claim form submissions. It covers detailed information on form fields for CMS-1500, UB-04 CMS 1450, Family Planning 2017, and ADA Dental forms, along with valuable resources to streamline your process.
Master the fundamentals of Medicare crossover claims. This training covers Medicare Parts A, B & C, QMB vs. MQMB clients, claim submission, and appeals. Gain the knowledge to streamline billing and ensure accurate reimbursements.
The Medicaid Basics training offers an overview of Texas Medicaid, including TMHP's role, managed care, state health programs, Electronic Visit Verification, Medicare, provider enrollment, responsibilities, prior authorization, and claims. Ideal for new and existing providers.
Integrating Behavioral Health Services in Primary Care: Collaborative Care Model (CoCM) in Texas Medicaid modules provide an introduction to CoCM and the team, billing, and other requirements to provide services. This training has been designed to give you the most...
