Information for Providers

Click on the links below for information of interest to providers.

COVID-19 information and updates from Texas HHS

OIG COVID-19 page

Fraud, Waste and Abuse Prevention Information

Attendant Care Services

• Video to educate attendants about following Medicaid rules (English and Spanish subtitles)
• Fraud, waste, and abuse letters for providers (PDF)
• Letters for attendants: PDF in English | PDF in Spanish

Dental Services

• Dental solicitation one-pager for providers (PDF)
• Dental solicitation brochure for providers (PDF)
• Dental solicitation presentation (PDF)
• Dental solicitation analysis presentation (PDF)

OIG fraud posters: PDF in English | PDF in Spanish

SNAP Guide for Retailers: PDF in English | PDF in Spanish

Other Links

• Guide to self-report overpayments to the OIG (PDF)
• Self-report protocol (PDF)
• Payment hold and overpayment procedures
• Common Errors in Outpatient Emergency Hospital Billing (PDF)
• NFUR stakeholders
• Hospital stakeholders
• Annual Audit and Inspections Plan (PDF), updated September 2022
• Texas Medicaid Fee-for-Service Vendor Drug Program Audits (PDF)
• Overview of Pharmacy Lock-In Program
• Search excluded providers

Provider Enrollment and Reinstatement

• Enrollment process chart (PDF)
• Application
• New provider application guidance
• Provider reinstatement procedure

CMS Outreach and Education

• Search the training and outreach topics offered by the Centers for Medicare & Medicaid Services

Updates from TMHP

• For the latest news and banner messages from TMHP, visit the TMHP Medicaid provider home page.
• Texas Medicaid Provider Procedures Manual

HHS Compliance

• Compliance education materials from the U.S. Department of Health & Human Services OIG: Compliance 101