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Department of Health and Human Services (DHHS) …

TEXAS MEDICAID BULLETIN NO. 202 INSIDEAll Providers 1 NPI Overview 1 NPI Attestation Overview 2 Atypical Provider Identifiers 3 Completing the Online Attestation Process 4 Important Medicare Crossover Information 8 Crosswalk Solution Developed for Claims Processing 9 Implementation Timelines 10 NPI Information and Help 10 New Claim Forms 11 Correspondence Changes 14 TDHconnect 15 EDI Companion Guide 15 Third Party Biller Enrollment 15 Forms 16 Revised CMS-1500 16 Revised CMS-1450 (UB-04) 17 Revised ADA Dental Claim Form 18 Long Term Care Providers See reverse sideThis is a combined, special bulletin for all Medicaid, Children with Special Health Care Needs (CSHCN)

TEXAS MEDICAID BULLETIN NO. 202 INSIDE All Providers 1 NPI Overview 1 NPI Attestation Overview 2 Atypical Provider Identifiers …

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