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If your card is lost or stolen, call 800-252-8263. That's a free call. Online, you can order a replacement card or print a copy of your card. Go to YourTexasBenefits.com, log into your account, and click on 'Manage'.
If a claim cannot be appealed electronically or by using AIS, providers may appeal the claim on paper by completing the following: 1) Submit a copy of the R&S page on which the claim is paid or denied or other official notification from TMHP (i.e., TMHP letters attached to returned claims).
All claims for services rendered to Texas Medicaid clients who do not have Medicare benefits are subject to a filing deadline from the date of service of: 95 days for in-state providers. 365 days for out-of-state providers. TMHP cannot issue a prior authorization before Medicaid enrollment is complete.
All claims for services rendered to Texas Medicaid clients who do not have Medicare benefits are subject to a filing deadline from the date of service of: 95 days for in-state providers. 365 days for out-of-state providers. TMHP cannot issue a prior authorization before Medicaid enrollment is complete.
Federal Poverty Level thresholds to qualify for Medicaid The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. For example, in 2022 it is $13,590 for a single adult person, $27,750 for a family of four and $46,630 for a family of eight.
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People also ask

If you received Medicaid long-term services and supports, the state of Texas has the right to ask for money back from your estate after you die. In some cases, the state may not ask for anything back, and the state will never ask for more money back than it paid for your services.
In 2022, the MMMNA in TX is $3,435 / month. If a non-applicant spouse has monthly income under this amount, income can be transferred from the applicant spouse to the non-applicant spouse to bring their income up to this level.
Call 800-925-9126, Option 1 to check claim status, client eligibility, benefit limitations, current weekly payment amount, and claim appeals. Eligibility and claim status information is available 23 hours a day, 7 days a week, with scheduled down time between 3 a.m. and 4 a.m., Central Time.
Q) The TMHP Companion Guide indicates the payer name is TDHS/TDMHMR.
If a Supplemental Security Income appellant becomes eligible for Medicaid while on indigent health care, the county might be eligible for reimbursement for costs incurred.

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