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MEDICAL CONTESTED CASE HEARING NO. 11123
M6113103001
DECISION AND ORDER
This case is decided pursuant to Chapter 410 of the Texas Workers Compensation Act and
Rules of the Division of Workers Compensation
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What is wwwtditexasgov - medcasesmedcchconcrnt11?
wwwtditexasgov - medcasesmedcchconcrnt11 is a form used to report concurrent medicaid and CHIP cases in Texas.
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Healthcare providers and facilities in Texas that have concurrent medicaid and CHIP cases are required to file wwwtditexasgov - medcasesmedcchconcrnt11.
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You can fill out wwwtditexasgov - medcasesmedcchconcrnt11 electronically through the official Texas Medicaid website or manually by submitting a paper form.
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The purpose of wwwtditexasgov - medcasesmedcchconcrnt11 is to ensure accurate reporting and coordination of medicaid and CHIP cases in Texas.
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wwwtditexasgov - medcasesmedcchconcrnt11 requires information about the individuals covered under both medicaid and CHIP, as well as details about the healthcare services provided.
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