Tmhp Provider Phone Number (2024)

1. Contact

  • STATE, FEDERAL, AND ...

  • The TMHP Contact Center is staffed with agents that are knowledgeable about Texas Medicaid, the Children with Special Health Care Needs (CSHCN) Services Program, Healthy Texas Women (HTW) and the Family Planning Program. The Contact Center is open from 7:00 a.m. to 7:00 p.m., Central Time, and can assist both providers and clients. Send us an email by clicking the button below, or select from one of the available telephone lines.Email Us

2. Provider Support Services - TMHP

  • Regional Territories · Territory 13 · Territory 5 · Territory 6

  • TMHP Provider Relations Representatives are available to assist both new and existing providers in understanding program policies and procedures, provide technical support for TMHP secure portals and TexMedConnect, and offer assistance with claims filing and payment issues.

3. Help - TMHP

  • Dec 4, 2020 · EDI Help Desk : 1-888-863-3638. The EDI Help Desk can assist with troubleshooting technical problems that providers and vendors may experience, ...

  • TMHP Contact Center: 1-800-925-9126. The TMHP Contact Center can assist users with navigating and locating information contained on this website. Contact Center Agents are available Monday through Friday, from 7 a.m., to 7 p.m., Central Time.

4. [PDF] Texas Medicaid Quick Reference Guide - TMHP

  • Dec 26, 2019 · TMHP CONTACT CENTER. The TMHP Contact Center (800-925-9126) is available from 7 a.m. to 7 p.m., Central Time, Monday through Friday.

5. Provider Enrollment - TMHP

  • How to Apply · Enrollment Help · PEMS Step-by-Step Guide · Application Fee

  • The goal of Texas Medicaid is to provide health care to over 4.2 million Texas residents who might otherwise go without medical care for themselves and their children. To achieve this, Texas Medicaid and a variety of health-care programs rely on a network of dedicated professionals to meet the growing health-care needs of our clients.

6. [PDF] PROVIDER ENROLLMENT AND RESPONSIBILITIES - TMHP

  • • Point of contact name and phone number or email address. • Provider name. • Provider NPI and TPI, if available. • Description of the complaint situation.

7. Texas Medicaid and Healthcare Partnership Contacts

8. Texas Medicaid and Healthcare Partnership Contacts

  • Telephone. 800-925-9126 - TMHP Contact Center Monday-Friday, 7:00 a.m. to 7:00 p.m. (central). Select Option 2 (Provider Inquiries), then Option 1 (Client ...

  • 800-925-9126 - TMHP Contact Center Monday-Friday, 7:00 a.m. to 7:00 p.m. (central)

9. Texas Medicaid Third Party Liability program recovers payments from ...

  • Providers can inquire about the status of an informational claim by calling the TMHP TPL/Tort Department at 1-800-846-7307. If a provider has not received ...

  • Section 8: Third Party Liability (TPL)

10. Section 4: Interfacing with Medicaid as a Provider - Texas Health Steps

  • More information on these services is at the TMHP Regional Support web page. You may also call 800-925-9126 for general inquiries or to locate your regional ...

  • Texas Health Steps: Medicaid 101

11. Adding Practice Locations in PEMS - TMHP

  • Jun 13, 2024 · TMHP Portal Security Training Manual: For account assistance, refer to this manual or call the TMHP Contact Center at 800-925-9126. PEMS ...

  • Action Required: Practice Location Update for HCS ProvidersIf you are a Home and Community-based Services (HCS) provider that has been notified by the Texas Medicaid & Healthcare Partnership (TMHP) that you need to complete your Texas Medicaid revalidation through the Provider Enrollment and Management System (PEMS), it is important to confirm the accuracy of your provider enrollment details.Failure to update your enrollment record as required could result in payment recoupment, termination from Medicaid, or other adverse actions.

12. Provider Login - Superior HealthPlan

  • You can learn more about the support resources by visiting Change Healthcare Cyberattack SupportExternal Link and/or by reaching out to the contact center at 1- ...

  • Superior HealthPlan offers affordable Texas Medicaid and Health Insurance Marketplace plans. Get covered with a Superior HealthPlan today.

13. 1_06_Claims_Filing - TMHP

  • Providers who have not completed enrollment and have general claim submission questions may refer to this section for assistance with claim submission. If ...

  • Section 6: Claims Filing

14. Texas Providers Home - Molina Healthcare

  • Otherwise, you can contact TMHP directly at (800) 925-9126 for assistance. Do you need to add, terminate, or make demographic changes to an existing Provider in ...

  • We appreciate your feedback about our website.

15. Providers - Community First Health Plans - Medicaid

  • Otherwise, you can contact TMHP directly at 800-925-9126 for assistance. COMMUNITY FIRST Provider NEWSLETTERS.

  • Welcome Providers! Thank you for choosing to partner with Community First Health Plans. Here you will find helpful materials and resources meant specifically for providers and office staff.

16. For Providers | Texas Children's Health Plan

  • Providers · Texas Children's® Link · Telephone TouCHPoint · Provider Training & Events · Becoming a Participating Provider ... number of our providers for amounts ...

  • Our website for providers is designed as a tool to help you. You can find an array of resources such as: Pharmacy Directories Downloadable forms Claims information Practice guidelines Provider Newsletters Contracting and Credentialing

17. TMHP Live Chat Support Implementing September 5, 2023

  • Jul 21, 2023 · For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413. Return to ...

  • Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO. Administrative procedures, such as prior authorization, precertification, referrals, and claims and encounter data filing, may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the member’s specific MCO for details.

18. Phone Directory | Contact Us - Superior HealthPlan

  • Superior HealthPlan provides quality Medicaid and CHIP health insurance to members across Texas. If you have STAR or CHIP coverage, call 1-800-783-5386 to speak ...

  • Superior HealthPlan exists to improve the health of its members through our Medicaid, STAR, and CHIP programs. Get covered with Superior HealthPlan today.

19. [PDF] Texas Medicaid - Enrollment Application - TMHP

  • How do I update my address, phone number, and other information? A. You can update the following information online through your provider portal account at.

20. [PDF] TexMedConnect Acute Care Manual - TMHP

  • ... Phone Number (area code + 7), Policy Holder. ID/SSN (9 digits) c) Click the ... 7) The Provider tab is used to enter provider information for the claim.

21. Providers Required to Update Their Practice Addresses in PEMS - TMHP

  • Oct 31, 2023 · For nonperforming providers with practice locations that require an address correction, submit a Maintenance - Practice Location – Address ...

  • Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO. Administrative procedures, such as prior authorization, precertification, referrals, and claims and encounter data filing, may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the member’s specific MCO for details.

22. Texas Medicaid | Benefits.gov

  • The Texas Medicaid Program provides free or low-cost health coverage to eligible needy persons. Determine your eligibility for this benefit.

  • The Texas Medicaid Program provides free or low-cost health coverage to eligible needy persons. Determine your eligibility for this benefit

23. Texas Medicaid Provider Enrollment Application - Justia › Forms

  • ... number to TMHP. When a client is eligible for Medicare Part B only ... Providers can make changes to the following fields: • Address, telephone numbers ...

  • Texas Medicaid Provider Enrollment Application Form. This is a Texas form and can be use in Medicaid Statewide. - Justia Forms

Tmhp Provider Phone Number (2024)

FAQs

What is the phone number for TMHP provider in Texas? ›

800-925-9126. This provider line offers general information concerning Texas Medicaid, Texas Healthy Women, and the Family Planning Program. Agents can assist with claims filing, financial inquiries, eligibility, and provider education.

What is the phone number for Medicare of Texas provider line? ›

Call us at 1-800-MEDICARE (1-800-633-4227). Help from Medicare is available 24 hours a day, 7 days a week, except some federal holidays. TTY users can call 1-877-486-2048.

Can you apply for Texas Medicaid over the phone? ›

A person may apply for Medicaid by calling 2-1-1. A person or AR may complete and sign an application over the phone by: providing their information over the phone to a customer care representative (CCR); and.

What is the main number for Texas Medicaid? ›

If you don't have a health plan and need help, call the Medicaid Helpline 800-335-8957.

What is the number to speak to a representative at Texas benefits? ›

Call 2-1-1 or 877-541-7905 (after you pick a language, press 2)

What does TMHP stand for in Texas? ›

The Texas Medicaid & Healthcare Partnership (TMHP) is a group of contractors under the leadership of Accenture.

What phone number is 800 633 4227? ›

1-800-MEDICARE (1-800-633-4227)

For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

What is the provider line for Texas Medicaid? ›

Resources for enrollment: TMHP provider enrollment representative at 800-925-9126, Option 3. Submit general questions via email.

How to bill Medicare as a provider? ›

Keep in mind that you may have already completed some of these requirements, and some parts of the process apply only to institutional provider applications.
  1. Step 1: Obtain an NPI Number. ...
  2. Step 2: Apply for Medicare Enrollment. ...
  3. Step 3: Pay the Application Fee. ...
  4. Step 4: Connect With Your MAC.

What is the maximum income to qualify for Medicaid in Texas in 2024? ›

Income & Asset Limits for Eligibility
2024 Texas Medicaid Long-Term Care Eligibility for Seniors
Type of MedicaidSingleMarried (both spouses applying)
Institutional / Nursing Home Medicaid$2,829 / month*$5,658 / month*
Medicaid Waivers / Home and Community Based Services$2,829 / month†$5,658 / month†
2 more rows
Nov 27, 2023

What is the highest income to qualify for Medicaid in Texas? ›

Who is eligible for Texas Medicaid?
Household Size*Maximum Income Level (Per Year)
2$40,472
3$51,124
4$61,776
5$72,429
4 more rows

At what age does Medicaid stop in Texas? ›

To get Medicaid or CHIP, a child must be age 18 and younger (in some cases children with disabilities age 19 and 20 can get Medicaid).

What is the phone number for Healthy Texas Women's Medicaid provider? ›

Need help finding a Healthy Texas Women program provider? For questions or to find a Healthy Texas Women program provider, you can also call 1-800-335-8957 (toll free), pick a language, then pick option 5. You may also email HHSC Healthy Texas Women.

What is the phone number for your Texas benefits Medicaid? ›

Get help over the phone by calling 2-1-1 or 1-877-541-7905.

What is Texas Medicaid called? ›

Most people who have Medicaid in Texas get their coverage through the STAR managed care program. STAR covers low-income children, pregnant women and families.

What is the main office number for Texas health and Human Services? ›

You can get help with the website or with your benefits by calling 2-1-1 or 877-541-7905 (select your language and then Option 2).

What is the phone number for Molina Healthcare of Texas provider claims? ›

If you have any questions, or if you are not currently a Molina provider, but are interested in contracting with us, please call Molina Texas Provider Services at (855) 322-4080.

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