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.
Computer Based Training
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CSHCN Services Program Training
The CSHCN Services Program Training presents information that provides new and current CSHCN Services Program providers with an overview of the program.
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Claim Appeals for CSHCN
The goal of this training is to discuss the various levels of claim appeals and methods for submitting them. In this training, we'll look at three different scenarios involving claim appeals.
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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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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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Healthy Texas Women
The Healthy Texas Women (HTW) CBT presents information that will provide new and current HTW Program providers and HTW Plus program providers an overview of client eligibility, provider enrollment, services, benefits, and limitations, claims, and helpful resources.
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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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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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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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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) 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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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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Claim Appeals for Medicaid
How and when to appeal a claim, and when to escalate an appeal.
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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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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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Prior Authorization (PA) on the Portal
The PA on the Portal CBT contains an explanation of the PA process and three simulations that show users how to submit a PA request, check the status of a PA, and how to save a PA as a draft...
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Collaborative Care Model (CoCM)
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.
