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General Inquiries: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. The following options are available:
Call your provider's office right away. Make sure they know you or your child are on Medicaid or the CSHCN Services Program and that they have your client ID number. If the provider is not enrolled or you do not have coverage for the date(s) of service, you will be responsible for the bill.
You can verify client eligibility using the Automated Inquiry System (AIS), the Interactive Voice Response (IVR), or through a representative by calling the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.
File a Complaint about an HHS Program or Service. If you have questions or are experiencing difficulty with your services from HHS, including Medicaid managed care, contact the Office of the Ombudsman. Phone: 877-787-8999. Relay Texas for people with a hearing or speech disability: 7-1-1 or 800-735-2989.
TMHP provider enrollment representative at 800-925-9126, Option 3. Submit general questions via email. (link sends email) Providers that want to participate in state health-care programs must enroll in Texas Medicaid.
For questions regarding service program and policy issues, Medicaid clients should call the TMHP Contact Center on (800) 335-8957 or (800) 252-8263. Providers should call the TMHP Contact Center on (800) 925-9126. Mailing and Physical Address: Regular Mail: Texas Health and Human Services Commission Attention: Provider Finance Department Mail ...
TMHP does not process claims for services provided by Medicaid managed care organizations (MCOs) or dental maintenance organizations (DMOs). Technical Support for Filing Claims: 888-863-3638. Managed Care
The Texas Medicaid & Healthcare Partnership (TMHP) LTC team supports the LTC provider community in submitting claims through the Claims Management System. TMHP also supports providers as they submit forms via the LTC Online Portal.
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 Eligibility), and then follow the prompts to find enrollment status and the name of the person's MCO.
Otherwise, you can contact TMHP directly at 800-925-9126 for assistance. Keep your information current with Aetna Keeping your details up to date in our directories helps members find the right info about you and your practice.