Is TMHP Texas Medicaid?

Medicaid Provider Enrollment The Texas Medicaid & Healthcare Partnership (TMHP) enrolls providers in the Texas Medicaid program and other state healthcare programs.

Does Texas Medicaid cover ultrasounds?

Texas Medicaid allows three obstetric ultrasounds per pregnancy. Any additional ultrasound performed during the same pregnancy is required to be medically necessary to allow payment for the services.

Does Texas Medicaid pay consult codes?

Medicaid will continue to pay for services you bill using CPT consultation codes. Texas Medicaid and the Children With Special Health Care Needs (CSHCN) Services program have no plans to follow Medicare’s lead in eliminating payment for these codes.

What is Texas Medicaid TPI?

Claims Submission and Payment Process. Summary: Texas Provider Identifiers (TPIs) are required in order to be paid for any Medicaid service except as noted below and TPIs may be retro-enrolled. This alert outlines the process for retro-TPI assignments.

What does TMHP stand for?

Texas Medicaid & Healthcare Partnership
The Texas Medicaid & Healthcare Partnership (TMHP) is a group of contractors under the leadership of Accenture. Accenture administers Texas Medicaid and other state health-care programs on behalf of the Texas Health and Human Services Commission.

How do I check my TMHP claim status?

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.

What’s the difference in an ultrasound and a sonogram?

Although often used interchangeably, ultrasound is the procedure of using sound waves to create images from inside the body. Sonogram is the image produced by an ultrasound examination.

What is a th modifier?

Modifier TH identifies “obstetrical treatment/services, prenatal and postpartum” and must be reported with each code for antepartum visits, deliveries and postpartum care.

What is TPI in TMHP?

Providers should contact the client’s specific MCO for details. Effective September 1, 2020, the Texas Provider Identifier (TPI) number will be removed from select outgoing TMHP-initiated provider letters.