This training has been designed to give you the most up-to-date information as of the publication date. It is your responsibility to regularly review the current CSHCN Services Program Provider Manual and all updated information as it is published on the Texas Medicaid & Healthcare Partnership (TMHP) website at www.tmhp.com.
This learning path contains information related to Children with Special Health Care Needs (CSHCN) Services Program basics and the claim appeals process.
The Basics modules provide new and current CSHCN Services Program providers with an overview of the program, including clients, benefits, provider enrollment and responsibilities, authorizations, claims, and appeals.
The claim appeals training discusses the various levels of claim appeals and methods for submitting them using three different scenarios.