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All Activities

41 results returned
  • 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.

    • Path
    • Duration 1.1h
  • 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.

    • Path
    • Duration 26m
  • 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.

    • Path
    • Duration 47m
  • 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. 

    • Path
    • Duration 29m
  • 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. 

    • Path
    • Duration 35m
  • 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.

    • Path
    • Duration 25m
  • 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.

    • Path
    • Duration 50m
  • 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.

    • Path
    • Duration 39m
  • Durable Medical Equipment (DME)

    This CBT will introduce providers to the basics of enrolling and providing services and goods as a Medicaid DME provider.

    • Path
    • Duration 1h
  • PA on the Portal Submission Guide

    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.

    • Prior Authorization Webinar

      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.

      • Path
      • Duration 20m
    • Introduction to Medicaid Basics Webinar

      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. 

      • Path
      • Duration 1.2h
    • Writing Functional Therapy Goals

      Texas Medicaid requires functional goals for all PT, OT, and ST plans of care.  To help providers integrate this requirement into therapy plans of care, the Writing Functional Therapy Goals webinar will explore this process in depth.

      • Path
      • Duration 34m
      • Award