OIG Digital Scanning
HHSC OIG Utilization Review allows certain hospital providers to use digital submissions to minimize the submission of paper medical records and to improve efficiency. Learn how to submit documentation in a few easy steps.
HHSC OIG Utilization Review allows certain hospital providers to use digital submissions to minimize the submission of paper medical records and to improve efficiency. Learn how to submit documentation in a few easy steps.
This CBT contains information about using TexMedConnect to verify client eligibility, enter and submit claims and appeals, and find claim status.
This Quick Reference Guide is designed to assist LTC providers in accessing, understanding, and reconciling their Remittance and Status Reports.
Discover key components and the significance of Hospice Forms 3071/3074 in this high-level overview.
Enhance your understanding of the NF Forms 3618/3619 and MDS/LTCMI with a clear, high-level overview.
Discover Medicaid Essentials—your go-to resources for healthcare providers and administrative staff new to Medicaid. Gain a solid understanding of Medicaid’s purpose, eligibility, and key components to navigate processes and ensure compliance with ease.
This User Guide is for providers who wish to learn about the Long Term Care (LTC) Community Waiver Programs.
This User Guide is designed as a resource for LTC Providers. The guide covers program general information, the procedures for successfully navigating the LTC Online Portal, and various resources for providers.
This webinar includes information about the Preadmission Screening and Resident Review (PASRR). It discusses the PASRR Level 1 (PL1) and PASRR Evaluation (PE), the Interdisciplinary Team (IDT) Meeting tab, and the PASRR Comprehensive Service Plan (PCSP).
This interactive training provides a basic overview of the Long Term Care (LTC) Online Portal including an overview of the features of the blue navigational bar and the yellow Form Actions bar. Demonstrations and simulations are available to provide opportunities...
This CBT includes information about the Medical Necessity (MN), MN/LOC 3.0 Assessment, Long Term Care Medicaid Information (LTCMI), resubmitting and inactivating Assessments.
This User Guide is designed to assist Nursing Facility providers and Local Authorities as they navigate through the Preadmission Screening and Resident Review (PASRR) process.
This compact training equips you with the essential knowledge you need when handling Texas Medicaid ambulance clients.
The PA on the Portal Submission Guide sets forth the procedures for online prior authorization requests, using the Texas Medicaid & Healthcare Partnership's (TMHP's) Prior Authorization (PA) on the Portal system.
The Prior Authorization (PA) Webinar is intended to educate Texas Medicaid and Children with Special Health care Needs (CSHCN) Services Program providers on prior authorization guidelines, processes, requirements, and tools available for submitting prior authorizations.
This CBT provides an overview of the Durable Medical Equipment program.
This training provides a comprehensive look at the CSHCN Services Program. You'll learn about the clients, benefits, your responsibilities, prior authorizations, claims, appeals and more!
These materials assist providers in understanding the changes implemented to the permanent delivery of some behavioral health Medicaid benefits by synchronous audiovisual or synchronous telephone (audio-only) technology by Texas House Bill 4, 87th Legislature, Regular Session, 2021, effective September 1,...
This training provides information on how to fill out paper claim forms such as the CMS-1500, UB-04 CMS 1450, Family Planning 2017, and ADA Dental paper claim form.
This training provides information and scenarios on how to submit claims for reimbursement when a client is dual eligible for both Medicare and Medicaid benefits.
The Medicaid Basics computer-based-training (CBT) is a high-level overview of Medicaid and other state healthcare topics for providers. Resource links included in each topic section guide users to policy information, in-depth training, and documentation to help them expand their knowledge.
Integrating Behavioral Health Services in Primary Care: Collaborative Care Model (CoCM) in Texas Medicaid modules provide an introduction to CoCM and the team, billing, and other requirements to provide services. This training has been designed to give you the most...
EVV Portal Training and Resources