PA on the Portal Submission Guide
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.
Supplemental Information
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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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Long-Term Care (LTC) User Guide for Preadmission Screening and Resident Review (PASRR)
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.
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Long-Term Care (LTC) User Guide for Online Portal Basics, General Information, and Program Resources
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.
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Long-Term Care (LTC) User Guide for Community Services Waiver Programs
This User Guide is for providers who wish to learn about the Long Term Care (LTC) Community Waiver Programs.
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Long-Term Care (LTC) User Guide for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Program Providers
The LTC Online Portal is used to submit, monitor, and manage forms and assessments. This User Guide is designed for Intermediate Care Facilities for Individuals with Intellectual Disability (ICF/IID) program users.
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Remittance and Status (R&S) Reports for LTC Providers A Quick Reference Guide
This Quick Reference Guide is designed to assist LTC providers in accessing, understanding, and reconciling their Remittance and Status Reports.
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Long-Term Care (LTC) Home & Community-based Services (HCS)/Texas Home Living (TxHmL) Waiver Programs Frequently Asked Questions (FAQs)
The LTC HCS/TxHmL FAQ is a list of frequently asked questions relating to HCS/TxHmL Waiver Programs, assessments and forms managed through the LTC Online Portal, and TMHP processes and procedures.
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TMHP Account Setup for HCS and TxHmL Waiver Programs Quick Reference Guide (QRG)
The TMHP Account Setup for HCS and TxHmL Waiver Programs Quick Reference Guide (QRG) contains information regarding creating Texas Medicaid & Healthcare Partnership (TMHP) accounts necessary for submitting claims and forms to TMHP.
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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. This training has been designed to give you the most...
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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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Behavioral Health Policy Updates: TX House Bill 4. 87th Legislature, Regular Session, 2021
These materials assist providers in understanding the changes implemented to the permanent delivery of some behavioral health Medicaid benefits by synchronous audiovisual or synchronous telephone (audio-only) technology by Texas House Bill 4, 87th Legislature, Regular Session, 2021, effective September 1,...
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Medicaid Essentials
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.
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OIG Digital Scanning
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.
