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Este documento establece los términos y condiciones para la participación de los proveedores en el programa de asistencia médica de Texas (Medicaid), incluyendo requisitos de presentación de reclamos,
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How to fill out hhsc medicaid provider agreement

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How to fill out HHSC Medicaid Provider Agreement

01
Gather necessary documentation, including your business license and tax identification number.
02
Visit the HHSC website and locate the Medicaid Provider Agreement form.
03
Fill out the form with accurate information, including your contact details and services offered.
04
Review the form for any errors or omissions.
05
Sign and date the form.
06
Submit the completed form along with any required documentation via email or postal mail to the designated HHSC office.

Who needs HHSC Medicaid Provider Agreement?

01
Healthcare providers offering services covered by Medicaid.
02
Facilities such as hospitals, clinics, and long-term care providers.
03
Individual practitioners including doctors, therapists, and specialists.
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People Also Ask about

Need help finding a provider or making an appointment? Send us a secure message through your online account or call Member Services at 833-731-2160 (TTY 711). STAR Kids members, call 844-756-4600 (TTY 711). We'll set up a 3-way call with you and your provider.
Depending on your selection you may receive a new Texas Provider Identifier (TPI)A unique 9-digit number used to identify state health-care program providers..
800-925-9126. This provider line offers general information concerning Texas Medicaid, Texas Healthy Women, and the Family Planning Program.
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.
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.
STAR Medicaid Managed Care Program. 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. STAR members get their services through health plans they choose.
If you have questions about your health care or your doctor, you should contact your health plan. Their phone number and website will be listed on your health plan ID card. If you don't have a health plan and need help, call the Medicaid Helpline at 800-335-8957.
Texas Medicaid & Healthcare Partnership (TMHP) processes claims for Medicaid services provided in the traditional, fee-for-service system. TMHP does not process claims for services provided by Medicaid managed care organizations (MCOs) or dental maintenance organizations (DMOs).

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The HHSC Medicaid Provider Agreement is a legal contract between healthcare providers and the Texas Health and Human Services Commission (HHSC) that outlines the terms and conditions under which providers deliver services to Medicaid recipients.
Healthcare providers who wish to participate in the Texas Medicaid program and receive reimbursement for services provided to Medicaid recipients must file the HHSC Medicaid Provider Agreement.
To fill out the HHSC Medicaid Provider Agreement, providers should carefully read the agreement, complete all required sections with accurate information, and provide any necessary supporting documentation before submitting it to HHSC.
The purpose of the HHSC Medicaid Provider Agreement is to establish a formal relationship between the provider and HHSC, ensuring that services are delivered in accordance with Medicaid laws and regulations and that providers are reimbursed for their services.
Providers must report information such as their legal business name, address, taxpayer identification number, contact information, and any relevant licensing or certification details on the HHSC Medicaid Provider Agreement.
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