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Texas Health Steps Quick Reference Guide - TMHP

Texas Health Steps Medical Checkups9938199382993839938499385*993919 9392993939939499395** For clients who are 18 through 20 years of age, use diagnosis code Z0000 or Health Steps Follow-up VisitUse procedure code 99211 for a Texas Health Steps follow-up Diagnosis CodesZ00110 Routine newborn exam, birth through 7 days Z 0 0111 Routine newborn exam, 8 through 28 daysZ00129 Routine child examZ00121 Routine child exam, abnormalZ0000 General adult examZ0001 General adult exam, abnormalPoint-of-Care Lead TestingUse procedure code 83655 with QW modifier to report that an initial blood lead level screening test was completed using point-of-care AdministeredUse code Z23 to indicate when immunizations are CodesVa c c i ne90632 or 90633 with (90460/90461 or 90471/90472)Hep A 90620 or 90621 with (90460/90461 or 90471/90472)MenB90636 with (90460/90461 or 90471/90472)Hep A/Hep B90644 Hib-MenCY90647 or 90648 with (90460/90461 or 90471/90472)Hib90650 or 90651 with (90460/90461 o)

For Texas Health Steps Requests for Texas Health Steps laboratory supplies should be made on Form G399 and can be submitted to the DSHS Laboratory Container Preparation Group by: Email: ContainerPrepGroup@dshs.state.tx.us Fax: 512-776-7672 Phone: 512-776-7661 or 888-963-7111, Ext 7661 • Specimen shipping questions, call 512-776-7569 or

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Section A - TMHP

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PASRR Level 1 Screening, September, 2017, V.2. Page 1 of 12 DLN Individual A0800. Position/Title A0400. Provider No. A0200C. State. PASRR Level 1 Screening

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Department of Health and Human Services (DHHS) …

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

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Physical, Occupational, and Speech Therapy …

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Physical, Occupational, and Speech Therapy Benefits for All Ages to Change for Texas Medicaid September 1, 2017 Information June 30, 2017 Note: Texas Medicaid managed care organizations (MCOs) must provide all medically

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Texas Medicaid - TMHP

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835 Health Care Claim Payment/Advice Texas Medicaid HIPAA Transaction Standard Companion Guide Refers to the Implementation Guide Acute Care 835 Health Care

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Texas Medicaid Provider Enrollment Application - …

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Page iv Enrollment Application Instructions Rev. XXXVII Revised 12/18/2017 EThective 01/01/2018 Texas Medicaid Provider Enrollment Application Instructions

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F00139 Texas Medicaid PT, OT, ST Prior …

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F00139 Page 1 of 2 Revised Date: 05/10/2017 | Effective Date: 09/01/2017 Texas Medicaid Physical, Occupational, or Speech Therapy (PT, OT, ST) Prior Authorization Form

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Texas Medicaid - TMHP

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Crossover Professional Claim Type 30 - TMHP

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Provider Information Change Form - TMHP

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Provider Information Change Form F00114 Page 2 of 2 Revised: 10/18/2017 | Effective: 11/01/2017 Fax completed forms to 512 -514 4214 or mail to: TMHP Provider Enrollment, PO Box 200795, Austin, TX 78720-0795.

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Medicare Advantage HHSC Contract CMS Code …

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Molina Healthcare of Texas, Inc 529-16-0013-00008 H7678 002 Molina Medicare Options SNP Bexar, Cameron, Collins, Dallas, ElPaso, Harris, Hidalgo, Webb Physicians Health Choice 529-16-0013-00011 H4527 003

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