Information for Providers

New Providers

• Overview video for Medicaid providers.

Self-Disclosure of Errors

• Quick guide to self-disclosing errors. (PDF)
• Self-disclosure protocol. (PDF)

Payment Holds and Overpayments

• Payment hold and overpayment procedures.

Provider Enrollment

• The OIG and provider enrollment.

Provider Exclusions

• Search excluded providers.
• Provider reinstatement procedure.

Dental Solicitation

• Dental solicitation one-pager. (PDF)

Attendant Care Services

• Letter for home health agencies. (PDF)
• Attendant educational video.
• Letter for attendants. (PDF)
• Carta para los asistentes. (PDF)

• Common errors in outpatient emergency hospital billing. (PDF)
• Hospital stakeholder information.

• Utilization review information for nursing facility stakeholders.

Fee-for-Service Vendor Drug Program

• Texas Medicaid Fee-for-Service Vendor Drug Program audits. (PDF)

Pharmacy Lock-In Program

• Overview of Pharmacy Lock-In Program.

• Physician Guide to Integrity in Health and Human Services. (PDF)

CMS Outreach and Education

• Centers for Medicare & Medicaid Services training and outreach.

Updates from TMHP

• News and banner messages from TMHP.
• Texas Medicaid Provider Procedures Manual.

HHS Compliance

• General Compliance Program Guidance.
• U.S. Department of Health & Human Services OIG Compliance 101.

• OIG COVID-19 page.