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Published 03/22/2018 Updates to programs, policies, and procedures discussed in this User Guide can be found on the TMHP website in the current published provider manuals, web articles, and banner messages.
This training manual provides detailed instructions on administrator and user functions and roles, activating a TMHP User account, managing user accounts and more.
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 webinar discusses how to fill out, submit, and correct Forms 3071 and 3074.
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.
This webinar discusses how to fill out, submit, correct, and inactivate Forms 3618 and 3619.
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.
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.
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.
The EVV Acronyms infographic provides definitions to frequently used acronyms related to Electronic Visit Verification (EVV).
The YES Waiver Webinar contains information for YES Waiver providers regarding the relationship between YES Waiver and TMHP.
How and when to appeal a claim, and when to escalate an appeal.
Updates to programs, policies, and procedures discussed in this user guide can be found on the TMHP website in the current published provider manuals, web articles, and banner messages.
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 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.
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.
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.
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.
This CBT contains an overview of PA on the Portal.
The Ambulance Basics CBT contains information for regarding policies and procedures for providing ambulance transports for Medicaid and CSHCN Services Program clients.
This CBT contains information about using TexMedConnect to verify client eligibility, enter and submit claims and appeals, and find claim status.
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.
