Volume XXX, Number 3,
March 2015

Nursing facility webinars to assist with the transition to Managed Care

Texas Medicaid & Healthcare Partnership (TMHP) will offer informational webinars targeted specifically to Nursing Facilities and designed to assist with the transition to STAR+PLUS managed care. The webinars will address the changes to TexMedConnect and the claims forwarding process, and will offer detailed information on the following:

  • New Claims Entry fields for institutional claims
  • Using Medicaid Eligibility and Service Authorization Verification (MESAV) to identify payer for forwarded claims
  • “Mixed Detail Service Line” submissions
  • Viewing Claim Status and information in Batch History
  • Using Claim Status Inquiry (CSI) to look up claims forwarded to managed care organizations (MCOs)
  • MCO CSI Details screen

The last one-hour Nursing Facility webinar is scheduled for March 9, 2015, at 1:00 p.m. Providers can register for this webinar by CLICKING HERE.

For more information call the Long Term Care Help Desk at 1-800-626-4117, Option 1.

President’s Report

Legislative Update

State News

Federal News

THCA Membership Contribution

Announcements & Recognitions

THCAPAC

Region News

Education

If you have suggestions for education sessions or questions about THCA education, please contact Sue Wilson at the THCA office swilson@txhca.org.

Calendar