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  1. 4 Απρ 2021 · 1.1 Provider Enrollment To be eligible for Texas Medicaid reimbursement, a provider of health-care services (including an out-of-state provider) must: • Meet all applicable eligibility criteria. • Be approved by the Texas Health and Human Services Commission (HHSC) for enrollment.

  2. To enroll in Texas Medicaid as a provider of home health services, Home Health Services and Home and Community Support Services Agency (HCSSA) providers must complete the Texas Medicaid Provider Enrollment Application.

  3. 6 ημέρες πριν · The Texas Medicaid Provider Procedures Manual was updated on November 27, 2024, and contains all policy changes through December 1, 2024. The manual is available in both PDF and HTML formats.

  4. To be eligible for Texas Medicaid reimbursement, a provider of health-care services (including an out-of-state provider) must be enrolled with Texas Medicaid & Healthcare Partnership (TMHP). All claims must be filled with the provider’s National Provider Identifier (NPI). The provider’s NPI must be attested with TMHHP.

  5. The requirements of this Appendix apply to Texas Medicaid and CHIP managed care benefit plans sponsored, issued or administered by UnitedHealthcare Insurance Company and/or UnitedHealthcare Community Plan of Texas, LLC (each and collectively referred to herein as

  6. Some services/procedures have Medicaid allowable limits or age restrictions and should be verified through the Texas Medicaid & Healthcare Partnership (TMHP) Texas Medicaid Provider Procedures Manual (TMPPM). Documentation and forms required for prior authorization requests are available on the provider website.

  7. Provider Services | (855) 322-4080 | MolinaHealthcare.com The Provider Manual is customarily updated annually but may be updated more frequently as policies or regulatory requirements change. Providers can access the most current Provider Manual at www.MolinaHealthcare.com

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