MCO LTC providers can obtain an application by submitting an application to MCO_LTSS_Provider_Re-Enrollment@hhsc.state.tx.us. The application must include the supplier`s business name, tax identification number, taxonomy and national supplier identifier. Email supplier registration questions to provider.relations@tmhp.com. For more information on the Medicaid provider registration process for LTC billing only, please click here. All providers who wish to participate in government health programs must enroll in Texas Medicaid. This filing requirement applies to suppliers participating in: Due to the impact of Hurricane Harvey and subject to clarification by the Centers for Medicare & Medicaid Services, the Texas Health and Human Services Commission has delayed the implementation of the required registration of all order, reference or prescription providers originally scheduled for October. Note: Applicants who bill or wish to bill for acute care services through Texas Medicaid & Healthcare Partnership (TMHP) must enroll in Texas Medicaid through TMHP. For more information, visit the Texas Health and Human Services (HHS) website. Click “Doing Business with HHS” at the top of the webpage, then click “Enrolling Medicaid Providers” under Texas Medicaid. Effective Date of The Agreement – Enter the effective date of the Service Provider Agreement.
Click the bar below that applies to your entity to view more information about the Texas Medicaid provider registration process. An extension of the deadline for managed care providers serving managed care members (“MCO LTSS providers”) who must register through the Medicaid MCO LTSS provider registration process has been extended to February 1, 2019. Article 6. Negative actions and convictions — Answer questions (a) to (f), yes or no. If the answer to a question is yes, provide the requested information. When you request an agreement through an intermediate care facility service provider, send a copy of the TMHP notification letter to: An MCO LTSS provider is any provider that offers LTSS services as part of a specific combination of NPI and taxonomy and submits claims through Medicaid Managed Care. An MCO-LTSS provider must register through this process if the combination of NPI and taxonomy it uses to bill for LTSS services does not have an associated active TPI through TMHP or APIs through this process. The owner or an authorized representative of the legal entity must confirm that the information provided on the form and all attachments, if any, is true and complete.
If the legal entity is not a sole proprietorship, the authorized representative must be named on an up-to-date Form 2031, Designation of Authorized Persons – Business Entity, or Form 2031-G, Designation of Authorized Person(s) – Government Entity (as applicable to the legal entity). In order to have sufficient time to process applications, MCO LTS providers are strongly advised to submit their applications as soon as possible. LTC providers who have not yet started or completed the registration process and are still billing CMOs will receive the following letter and will need to take immediate steps to meet the February 1, 2019 registration deadline. Select the Re-enrollment check box if you are an existing HHS provider that submits a registration request before the end of the current enrollment period. HHSC grants a three-month grace period, from January 15, 2018 to April 16, 2018, during which it rejects claims that do not meet these requirements, and then retreats them to give suppliers more time to complete registration and minimize the impact on customers and suppliers. Document the service agreement between a financial management services agency (FMSA) on behalf of the Texas Health and Human Services Commission (HHSC), the state`s Medicaid agency; and a service provider (employee, contractor, business or supplier) who provides services to one or more individuals through the Consumer-Directed Services (CDS) option. FMSA – Enter the FMSA name and city/state information. These requirements apply only to Medicaid, Healthy Women in Texas, and the Children with Special Health Care Needs Program. However, these requirements do not apply to off-grid providers who order, refer or prescribe only for members of managed care. .