Texas Medicaid (TMHP)
MedicaidAlso covers: Texas Medicaid & Healthcare Partnership, TMHP, Texas Medicaid Fee-for-Service
Payer ID
Varies — confirm via portal / clearinghouse
No single canonical 837 payer ID for TMHP/Texas Medicaid FFS; claims go via TexMedConnect or a TMHP-approved clearinghouse using provider-specific Submitter/Receiver IDs. (Texas)
Timely Filing Limit (TFL)
95 days from each date of service (365 days for out-of-state providers)
Appeal Window
120 days from the disposition date on the R&S (Remittance & Status) Report
Clearinghouse
TMHP (TexMedConnect / TMHP EDI gateway)
Provider Services
800-925-9126
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.tmhp.com
Texas Medicaid FFS claims administrator. Acute-care FFS claims go through TMHP; managed-care claims must route to the member's assigned MCO.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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