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(3) Claims from all other providers delivering services reimbursed by the Texas Medicaid acute care program must be received by HHSC or its designee within 95 days from each date of service on the claim or 95 days from the date the Texas Provider Identifier (TPI) Number is issued, whichever occurs later.
Medicaid and the Childrens Health Insurance Program can provide health care for low-income children and families and long-term services and supports for people with disabilities and seniors.
Call toll-free at 800-252-8263, 2-1-1 or 877-541-7905. Choose English or Spanish. Choose option 2. The person you speak with can help you find out if you have Medicaid or not.
You can submit claims or resubmissions online through ConnectCenter using payer ID 38692. These come directly to the Medicaid/CHIP claims system.
A benefit code is an additional data element that identifies a state program. Providers that participate in the following programs must use the associated benefit code when they submit prior authorizations: Texas Health Steps Medical EP1. Comprehensive Care Program CCP.
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The Your Texas Benefits Medicaid card shows information your doctor and other Medicaid providers will need when you get services. Take this card when you go to a Medicaid doctor, dentist, hospital/clinic or drug store. Carry and protect the card just like your drivers license or credit card.
A revenue cycle is a process by which health care facilities and providers ensure their financial viability by increasing revenue.
Texas Medicaid Payer ID 86916.

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