Tmhp Provider Phone Number (2024)

1. Contact

  • STATE, FEDERAL, AND ...

  • The TMHP Contact Center is staffed with agents that are knowledgeable about Texas Medicaid, the Children with Special Health Care Needs (CSHCN) Services Program, Healthy Texas Women (HTW) and the Family Planning Program. The Contact Center is open from 7:00 a.m. to 7:00 p.m., Central Time, and can assist both providers and clients. Send us an email by clicking the button below, or select from one of the available telephone lines.Email Us

2. Provider Support Services - TMHP

  • Regional Territories · Territory 13 · Territory 5 · Territory 7

  • TMHP Provider Relations Representatives are available to assist both new and existing providers in understanding program policies and procedures, provide technical support for TMHP secure portals and TexMedConnect, and offer assistance with claims filing and payment issues.

3. Provider Enrollment - TMHP

  • How to Apply · Enrollment Help · PEMS Step-by-Step Guide · Application Fee

  • The goal of Texas Medicaid is to provide health care to over 4.2 million Texas residents who might otherwise go without medical care for themselves and their children. To achieve this, Texas Medicaid and a variety of health-care programs rely on a network of dedicated professionals to meet the growing health-care needs of our clients.

4. Help - TMHP

  • Dec 4, 2020 · TMHP Contact Center: 1-800-925-9126. The TMHP Contact Center can assist users with navigating and locating information contained on this ...

  • TMHP Contact Center: 1-800-925-9126. The TMHP Contact Center can assist users with navigating and locating information contained on this website. Contact Center Agents are available Monday through Friday, from 7 a.m., to 7 p.m., Central Time.

5. [PDF] Texas Medicaid Quick Reference Guide - TMHP

  • Dec 26, 2019 · TMHP CONTACT CENTER. The TMHP Contact Center (800-925-9126) is available from 7 a.m. to 7 p.m., Central Time, Monday through Friday.

6. TMHP Live Chat Support Implementing September 5, 2023

  • Jul 21, 2023 · For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413. Return to ...

  • Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO. Administrative procedures, such as prior authorization, precertification, referrals, and claims and encounter data filing, may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the member’s specific MCO for details.

7. Texas Medicaid and Healthcare Partnership Contacts

  • Telephone. 800-925-9126 - TMHP Contact Center Monday-Friday, 7:00 a.m. to 7:00 p.m. (central). Select ...

  • 800-925-9126 - TMHP Contact Center Monday-Friday, 7:00 a.m. to 7:00 p.m. (central)

8. Medicaid and CHIP Enrollment and Revalidation

  • TMHP provider enrollment representative at 800-925-9126, Option 3; Submit general questions via email. Additional Steps for LTC-only Billing Medicaid Providers.

  • Providers that want to participate in state health-care programs must enroll in Texas Medicaid.

9. Texas Medicaid and Healthcare Partnership Contacts

  • Telephone. 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 ...

  • 800-925-9126 - TMHP Contact Center Monday-Friday, 7:00 a.m. to 7:00 p.m. (central)

10. Providers Required to Update Their Practice Addresses in PEMS - TMHP

  • Oct 31, 2023 · For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413. Return to ...

  • Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO. Administrative procedures, such as prior authorization, precertification, referrals, and claims and encounter data filing, may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the member’s specific MCO for details.

11. Section 4: Interfacing with Medicaid as a Provider - Texas Health Steps

  • More information on these services is at the TMHP Regional Support web page. You may also call 800-925-9126 for general inquiries or to locate your regional ...

  • Texas Health Steps: Medicaid 101

12. [PDF] PROVIDER ENROLLMENT AND RESPONSIBILITIES - TMHP

  • • Point of contact name and phone number or email address. • Provider name. • Provider NPI and TPI, if available. • Description of the complaint situation.

13. Providers - Community First Health Plans - Medicaid

  • Otherwise, you can contact TMHP directly at 800-925-9126 for assistance. COMMUNITY FIRST HEALTH PLANS Provider E-NEWSLETTER.

  • Welcome Providers! Thank you for choosing to partner with Community First Health Plans. Here you will find helpful materials and resources meant specifically for providers and office staff.

14. Providers of Community Health Choice: Provider Home

  • Important Phone Numbers · Provider Advisory Group ... TMHP is HHSC's provider ... Otherwise, you can contact TMHP directly at 800-925-9126 for assistance.

  • COMMUNITY CARES Providing superior care to our Members together. Become a Community Provider Community Cares Connecting you to the best health insurance for every stage of life. Become a Community […]

Providers of Community Health Choice: Provider Home

15. Healthy Texas Women Provider Resources

  • Contact Us Today ... Want to talk to someone about healthcare choices available for women with low income? Call 2-1-1. Pick a language and then press 2. If you ...

  • The Healthy Texas Women program offers women's health and family planning services at no cost to eligible, low-income women. These services help women plan their families, whether it is to achieve, postpone or prevent pregnancy. They also can have a positive effect on future pregnancy planning and general health.Providers participating in the Healthy Texas Women program can access information regarding policies, billing forms and more online at:

16. Texas Medicaid Third Party Liability program recovers payments from ...

  • Providers may direct third party liability questions to the TMHP TPL/Tort Contact Center at 1-800-846-7307 with the option for accident, injury, and ...

  • Section 8: Third Party Liability (TPL)

17. Provider Login - Superior HealthPlan

  • Phone Directory · Authorization to Disclose · Complaint Form · Tech Support · Member ... To update demographic information in the TMHP Provider Information ...

  • Superior HealthPlan offers affordable Texas Medicaid and Health Insurance Marketplace plans. Get covered with a Superior HealthPlan today.

18. 1_06_Claims_Filing - TMHP

  • If additional general information is needed, providers may call the TMHP Contact Center at 800-925-9126 to obtain information. Due to HIPAA privacy guidelines, ...

  • Section 6: Claims Filing

19. [PDF] Texas Medicaid & Healthcare Partnership (TMHP) Electronic Visit ...

  • Aug 19, 2019 · A) MCO-only enrolled program providers contracted with MCOs, which do not have an HHSC Provider Number (previously DADS contract number), do not ...

20. Phone Directory | Contact Us - Superior HealthPlan

  • Superior HealthPlan provides quality Medicaid and CHIP health insurance to members across Texas. If you have STAR or CHIP coverage, call 1-800-783-5386 to speak ...

  • Superior HealthPlan exists to improve the health of its members through our Medicaid, STAR, and CHIP programs. Get covered with Superior HealthPlan today.

Tmhp Provider Phone Number (2024)

FAQs

What is the phone number for TMHP Texas Medicaid provider? ›

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.

What is the provider line for Texas Medicaid? ›

Resources for enrollment: TMHP provider enrollment representative at 800-925-9126, Option 3.

What is the phone number for Medicare of Texas provider line? ›

Call us at 1-800-MEDICARE (1-800-633-4227).

Can you apply for Texas Medicaid over the phone? ›

A person may apply for Medicaid by calling 2-1-1. A person or AR may complete and sign an application over the phone by: providing their information over the phone to a customer care representative (CCR); and.

What does TMHP stand for in Texas? ›

The Texas Medicaid & Healthcare Partnership (TMHP) is a group of contractors under the leadership of Accenture.

How to change Medicaid provider in Texas? ›

STAR, STAR Kids and STAR Plus members: The Texas Medicaid program allows you to change your or your child's health plan. You can learn more by calling the Texas STAR Program Helpline at 1-800-964-2777. You can request to change your health plan at any time for any reason.

What is a limited provider for Texas Medicaid? ›

Limited providers are primary care providers who manage the medical care of clients in the Limited Program. The Health and Human Services Inspector General (IG) reviews clients for suspected fraud, abuse, or misuse of Medicaid benefits and places clients in the Limited Program if IG identifies any issues.

What are the two types of Medicaid in Texas? ›

In Texas, there are 5 different types of Medicaid:
  • Traditional Medicaid.
  • STAR.
  • STAR Kids.
  • STAR Health.
  • STAR+PLUS.

What is Texas state Medicaid called? ›

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.

What phone number is 800 633 4227? ›

1-800-MEDICARE (1-800-633-4227)

If you want Medicare to be able to give your personal information to someone other than you, you need to fill out an "Authorization to Disclose Personal Health Information." Get this form in Spanish.

Who to call about Texas Medicaid? ›

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 800-335-8957.

What is the phone number for your Texas benefits Medicaid? ›

Phone: Call 2-1-1 or 1-877-541-7905. After you pick a language, press 2.

What is the phone number for Medicaid provider enrollment in Texas? ›

To find your area representative, go to the Provider Enrollment Regional Support web page or call 800-568-2413.

What is the maximum income to qualify for Medicaid in Texas in 2024? ›

Income & Asset Limits for Eligibility
2024 Texas Medicaid Long-Term Care Eligibility for Seniors
Type of MedicaidSingleMarried (both spouses applying)
Institutional / Nursing Home Medicaid$2,829 / month*$5,658 / month*
Medicaid Waivers / Home and Community Based Services$2,829 / month†$5,658 / month†
2 more rows
Nov 27, 2023

Who is currently eligible for Medicaid in Texas? ›

To be eligible for Texas Medicaid, you must be a resident of the state of Texas, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

What is the phone number for Molina Healthcare of Texas Medicare provider? ›

If you have any questions, or if you are not currently a Molina provider, but are interested in contracting with us, please call Molina Texas Provider Services at (855) 322-4080.

What is TPI for Texas Medicaid? ›

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..

What is a performing provider for Texas Medicaid? ›

Performing Provider

Applies to an individual health-care professional who is licensed or certified in Texas, and who is seeking enrollment under a group. Enrollment is under the tax identification number of the group, and payment is made to the group.

Top Articles
Latest Posts
Article information

Author: Fr. Dewey Fisher

Last Updated:

Views: 6705

Rating: 4.1 / 5 (42 voted)

Reviews: 81% of readers found this page helpful

Author information

Name: Fr. Dewey Fisher

Birthday: 1993-03-26

Address: 917 Hyun Views, Rogahnmouth, KY 91013-8827

Phone: +5938540192553

Job: Administration Developer

Hobby: Embroidery, Horseback riding, Juggling, Urban exploration, Skiing, Cycling, Handball

Introduction: My name is Fr. Dewey Fisher, I am a powerful, open, faithful, combative, spotless, faithful, fair person who loves writing and wants to share my knowledge and understanding with you.