May 8th, 2022
HCS and TxHmL Must Submit Claims and Forms to TMHP Beginning May 2, 2022
Home and Community-based Services (HCS) providers, Texas Home Living (TxHmL) providers, local intellectual and developmental disability authorities (LIDDAs), and financial management services agencies (FMSAs) billing on behalf of Consumer Directed Services (CDS) employers must submit claims and forms to Texas Medicaid & Healthcare Partnership (TMHP) beginning May 2, 2022, for dates of service on or after May 1, 2022.
Steps to Prepare
Program providers, LIDDAs, and FMSAs are strongly encouraged to set up the following accounts if they have not already done so:
- Claims Submission Account:
- TexMedConnect or
- Electronic Data Interchange (EDI)
- Long-Term Care (LTC) Online Portal
- TMHP Learning Management System (LMS)
Failure to set up the necessary accounts can lead to delays in payment after implementation. Program providers, LIDDAs, and FMSAs can find resources for creating the necessary accounts and the time frames it could take to create those accounts in the following table.
April 28th, 2022
Reminder: HCS and TxHmL Must Submit Claims and Forms to TMHP Beginning May 2, 2022
Reminder: HCS and TxHmL Programs can Submit 837P Professional and 837D Dental Claims Using EDI or TexMedConnect
For additional questions, providers can refer to the HCS and TxHmL Waiver Programs Frequently Asked Questions (FAQ), send an email to email@example.com, or contact the TMHP EDI Help Desk at 888-863-3638.