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Client Eligibility Lookup For current eligibility status, please enter 2 of the following 4 data elements for the Client: Patient Control Number Date of Birth Social Security Number
20 lip 2023 · Learn how to submit documentation for utilization review efficiently. Click here to access this resource. Your go-to resources for healthcare providers and staff. Enhance your understanding of these forms with a clear, high-level, self-guided training overview. Submit your COCM Attestations in PEMS. Follow these steps today!
The Fee Schedules tool provides: • Fee information for a single procedure code or multiple procedure codes • Fee information by provider type and specialty • Fee information for a specific provider (requires a TMHP website account) • Quarterly Medicaid fee schedules What’s New
The Online Fee Lookup provides fee information for Texas Medicaid, including Texas Health Steps (THSteps), the HHSC Family Planning Program and the CSHCN Services Program. Users can also search for fee information for specified procedure codes.
The Medicaid Eligibility Verification can be submitted to TMHP separately from creating a Financial Eligibility by using the MEV Request form from the Intake menu. This method can obtain a client’s Medicaid status without connection to the Financial Eligibility document.
If you are in Managed Care, please go to your health plan's provider list or call your health plan for more information. To learn more about Medicaid health plan providers visit the HHSC website.
Medicaid and the Children's Health Insurance Program (CHIP) provide health coverage for low-income children, families, seniors and people with disabilities.