texas medicaid handbook 2020

For information about COVID-19, call 2-1-1 and select Option 6.Find a COVID-19 testing site | COVID-19 vaccine | More COVID-19 information. We will send you a copy free of charge. Chapter A, General Information and MEPD Groups Section A-1000 General Information A-1000 General Information A-1100 Texas Administrative Code Rules Section A-2000 Mandatory Coverage Groups A-2000 Medicaid for the Elderly and People with Disabilities Handbook | Texas Health and Human Services Texas H8197-001 . Dec 14, 2018 … Subject: … Welcome to Medicare & You 2021 [MP3, 7038 MB] Section 1: Signing Up for Medicare Part A and Part B - Pages - 15-19 [(MP3, 7.13 MB]. See page 16 for additional information. * Adobe Reader may be required to view the file. 1-877-901-7321, TDD/TTY: 7-1-1. Member Handbook Introduction This handbook tells you about your coverage under Cigna-HealthSpring CarePlan through December 31, 2020… The Texas Medicaid Provider Procedures Manual was updated on March 31, 2021, and contains all policy changes through April 1, 2021. x��Y�n�6}7��i�I��\w�"E��Cv[�M��'�/;C)v��R�m�X"5�93rf��N�%��d�5��x�2��/&w�Ť��շ��>�Y��c��_�a��Y��ޟ{d��)'�Sn�� YC�#�+�?��+K��η\��]'$�Bƿ�{'��?�� DNΏ�0��aQ��CX�Ӣ(�5��{��)��L)��W�֋��U�& =!�}&��jRʙ-Xɿ)�0b\$"� ��M;U��9x��!�A�@�t3��e��D�A%t��[P��|�Cz��ߧ��:u�H�U�� ;� �J�L�J�z�^��]2M:�~N�M.��p+�~�?�NAae��ic),�f!�~N;Dr�f6�ԡ��(�_�2Fe�%�D��X�*��N�l O-�0w�XQ�� <> Member Handbook Introduction . H8197_20_17208_001_TXMMPMbrHbk Accepted 9/20/2019 Molina Dual Options STAR+PLUS Medicare-Medicaid Plan . We are proud to provide the dental benefits for children and adults in the Texas Medicaid and CHIP program. How this impacts providers: Second Quarter 2020 HCPCS Added … If you have questions about Texas Children’s Medicaid you can always call our Member Services at . Medicaid is the State of Texas Access Reform (STAR) Managed Care Program (Medicaid). Our staff is here Monday through Friday from 8:00 a.m. to 5:00 p.m. Interpreter services are also available for calls to Member Services. If you need a hard copy of your Member Handbook, call UnitedHealthcare Dental’s customer service number at 1-877-901-7321, TTY 711. This handbook is an outline of your DentaQuest dental plan. 2 . UnitedHealthcare Connected™ (Medicare-Medicaid Plan) View the UnitedHealthcare Community Plan of Texas CHIP, STAR and STAR+PLUS Care Provider Manual - (Last Modified 07.22.2020) View the UnitedHealthcare Community Plan of Texas STAR Kids Administrative Guide / Care Provider Manual (Last Modified 07.22.2020) To use a general fee schedule, Medicaid providers can click Static Fee Schedules. Community provides both Children’s Medicaid and Medicaid for Pregnant Women. According to Genworth Financial, the average annual cost of long-term care in Texas is between $42,000 - $72,635, and for many seniors, these high costs can be a hindrance to retirement. TX Medicaid Telecommunication Services Handbook, Dec. 2020, p. 7 (Dec. 2020). Texas Electronic Benefit Transfer Program, Medicaid for the Elderly and People with Disabilities Handbook, Chapter A, General Information and MEPD Groups, Chapter B, Applications and Redeterminations, Chapter O, Waiver Programs, Demonstration Projects and All-Inclusive Care, Chapter P, Long-term Care Partnership (LTCP) Program, A-2100 Supplemental Security Income (SSI), A-2200 Emergency Medicaid Coverage for Aliens, A-2300 RSDI Cost of Living Adjustment (COLA) Increase, A-3100 SSI Denied Due to Entry into a Long-Term Care Facility, A-3300 Home and Community-Based Services Waiver Programs, A-3310 Community Living Assistance and Support Services (CLASS), A-3320 Deaf Blind with Multiple Disabilities (DBMD), A-3330 Home and Community-based Services (HCS), A-3350 Medically Dependent Children Program (MDCP), A-3400 Medicaid Buy-In for Children (MBIC), A-4100 Community Attendant Services (CAS), A-4200 Program of All-Inclusive Care for the Elderly (PACE), A-5200 Hospice in a Long-Term Care Facility, A-6000 Persons in Institutions for Mental Diseases (IMDs), A-7000, Type Programs (TP) and Type Assistance (TA), A-8100 Qualified Medicare Beneficiary (QMB), A-8200 Specified Low-Income Medicare Beneficiaries (SLMB), A-8400 Qualified Disabled Working Individuals (QDWI), A-9210 Eligibility Requirements for Medicare Buy-In, A-9220 Time Frames for Medicare Buy-In Enrollment, B-2000 Responsibilities of an Eligibility Specialist, B-2500 Explaining Policy vs. Refer to: The Medicaid Managed Care Handbook (Vol. The oversight of SHARS is a cooperative effort between the Texas Education Agency (TEA) and Health and Human Services Commission (HHSC). Member Handbook January 1, 2020 – December 31, 2020 . Member Handbook 2020. endobj The Adjusted Fee column displays the fee with all of the percentage reductions applied. MCNA is the largest dental insurer in the nation for state-sponsored Medicaid and CHIP programs. Texas Health & Human Services Commission. PDF download: Medicaid for the Elderly and People with Disabilities … – Texas.gov. Texas Medicaid Dental Services. Member Handbook . stream 1. ... of Texas STAR Kids Member Handbook 2020-2021 Aetna Better Health of Texas covers members in the Dallas Service Area in the following counties: Dallas, Collin, Rockwall, Hunt, Kaufman, Ellis and Navarro Counties. 3 0 obj We can help you with: "0^�bЕ^��{�b >{��qA��J3"N.4u�HI�5o��9��7��[vdx��ΏΎ � )�C�e�:�k�7�H` Member Handbook January 1, 2020 ... Texas Medicaid is a program run by the federal government and the state that helps people with limited incomes and resources pay for LTSS and medical costs. Texas managed Medicaid is often referred to as STA… Member Handbook 2020 Molina Dual Options STAR+PLUS MMP Member Handbook The information in this booklet is in effect from January 1, 2021 through December 31, 2021. Medicare & You 2021 Revised: September 2020 Publication ID: 10050. For previous editions of the manual, visit the … %PDF-1.7 As people age, they may require long-term care services to protect their health and improve their wellbeing. SHARS allow local school districts, including public charter schools, to obtain Medicaid reimbursement for certain health-related services documented in a student's Individualized Education Program (IEP). Member Handbook 2020 How can I change my child’s main dentist? 2020 Member Handbook A Guide to Your Managed Health Care Program ADMINISTERED BY: ... BCBSNM has contracts with providers all over New Mexico and along its borders in Texas, Arizona, and Colorado. If you need help to understand the member handbook, call FirstCare CHIP or CHIP Perinatal Customer Service at 1-877-639-2447. January 1, 2020 – December 31, 2020 . 2020-2021 STAR Kids (Medicaid) Member Handbook Dallas and Tarrant service areas . ... Texas Medicaid is a program run by the federal government and the state that helps people with Member Services 1-877-901-7321, TDD/TTY: ... • Effective Date — The date the member’s Texas Medicaid Dental Services coverage started. The files on this page contain the Texas Medicaid fee schedules for the selected federal fiscal quarter. You can get this handbook in larger print, audio (CD), braille, or in any other language format, if needed. Your Health and Drug Coverage under the Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan . 2020 HCPCS Updates for Texas Medicaid SHARS Program – Counseling and Psychological Services Information posted January 23, 2020 . D��U�v��O�1_�2)��f+&��$. Section 1: Signing Up for Medicare Part A and Part B - Pages 20-24 [MP3, 25.14 MB]. It covers extra services and drugs not covered by Medicare. 3 . Your Health and Drug Coverage under the Cigna-HealthSpring CarePlan Medicare-Medicaid Plan . Claim form examples referenced in the manual can be found on the claim form examples page.. See the release notes for a detailed description of the changes. Medicaid differs from Medicare in three \�p�L��0�d>Ku�c�Y��%nS�U�1��@�E Click this button to scroll back to the top. 1 0 obj Member Handbook for the Texas CHIP Dental Program. 11/20) • Include the type of service(s), number of sessions or days authorized, and If you need a sign language interpreter, please call For information on how to prepare for an emergency or disaster such as hurricanes and other tragic events, Members can call Texas 2-1-1 for assistance. (Accessed Dec. 2020). What if I need help with the member handbook? �H�:�^��s��h� �{�I* +d�]�"�[��; <> You have the right to get this Handbook in: • Audio • Braille endobj Member Handbook. Most Medicaid plans in the state of Texas are provided by Managed Care Organizations (MCOs). D-8420 American Indians Born Outside the U.S. D-8430 LAPR Residing in the U.S. on Aug. 22, 1996, D-8500 Qualified Aliens, Retroactive Coverage and SSI, D-8710 Documentary Evidence by Classification, D-8720 Lawfully Admitted for Permanent Residence (LAPR), D-8721 Description of Common Resident Alien Cards, D-8780 Qualified Alien Based on Battery or Extreme Cruelty, D-8790 Victims of Severe Human Trafficking, D-8800 Systematic Alien Verification for Entitlements (SAVE), D-8810 Getting Permission to Access to SAVE, D-8820 Primary Verification of Alien Status, D-8830 Additional Verification — Online Process of Alien Status, D-8840 Secondary Verification of Alien Immigration Status, D-8841 Reasonable Opportunity to Provide Verification of Alien Immigration Status, D-8920 Entry On or After Aug. 22, 1996 — Qualified Alien No Waiting Period, D-8930 LAPR Aliens With or Without Five-Year Waiting Period, D-9100 Definition of Sponsor and Sponsored Alien, D-9230 Providing Verification of Alien Sponsor's Income and Resources, D-9310 Examples of Sponsor-to-Alien Resource Deeming, D-9410 Examples of Sponsor-to-Alien Income Deeming, D-9500 Income Excluded from Sponsor-to-Alien Deeming, E-1310 Relationship of Income to Resources, E-1410 Garnishment based on Division of Marital Property, E-1420 Deeming and Court-Ordered Support Payments, E-1600 Reduction of Checks for Recoupment of Overpayments, E-1710 Medical Care and Services That are Not Income, E-1720 Social Services That Are Not Income, E-1740 Miscellaneous Things That May Not Be Income, E-2141 Types of Payments Excluded Without Regard to Specific Tribes or Groups, E-2142 Payments to Members of Specific Indian Tribes and Groups, E-2143 Receipts from Lands Held in Trust for Certain Tribes or Groups, E-2310 Refunds of Taxes Paid on Real Property or Food, E-2340 Home Produce for Personal Consumption, E-2360 Payment Treated Like Other Exemptions, E-3140 Certain Payments in a Sheltered Workshop, E-3160 Certain Federal Income Tax Refunds, E-3310 Annuities, Pensions and Other Periodic Payments, E-3311 Medicaid Qualifying Trust Payments, E-3312 Testamentary and Inter Vivos Trusts Payments, E-3314 Exception, Special Needs and Pooled Trust, E-3331.1 Treatment of Interest/Dividends on Fully Countable Resources, E-3331.2 Treatment of Interest/Dividends on Certain Excluded or Partially Excluded Resources, E-3331.3 Treatment of Interest/Dividends on All Other Resources, E-3331.4 Treatment of Interest and Dividends Earned on an Achieving a Better Life Experience (ABLE) Account, E-3331.5 Treatment of Interest/Dividends on School-Based Savings Accounts, E-3341 Rental Income Paid to a Third Party, E-3342 Mortgage Payment Made by Third Party, E-3371 Gifts of Domestic Commercial Transportation Tickets, E-3372 Effective Date of Receipt of Inheritance; Disclaimers, E-4311.2 $90 VA Pension and Institutional Setting, E-4313 Dependency and Indemnity Compensation, E-4315 VA Aid and Attendance and Housebound Payments, E-4317 Payments to Vietnam Veterans' Children with Spina Bifida, E-4400 Other Annuities, Pensions and Retirement Plans, E-5300 When Not to Project Variable Income, E-5400 How to Budget Variable Income at Applications, E-5500 How to Budget Variable Income at Redeterminations, E-6300 Budget Options for Self-Employment, E-6400 Variable Income for Self-Employment, E-7200 When Deeming Procedures Are Not Used, E-7400 Special Income Exemptions Used in Deeming, E-8140 Exceptions to Counting Support and Maintenance (S/M) Income, E-8150 Food, Clothing or Shelter as Wages, E-8211 Contributing Less Than Pro-Rata Share, E-8212 Contributing an Earmarked Share of Food and Shelter, E-8213 Contributing an Earmarked Share of Either Food or Shelter, E-8221 Receipt of Support and Maintenance (S/M) from Inside the Household, E-8222 Receipt of Support and Maintenance (S/M) from Outside the Household, E-8223 Receipt of Support and Maintenance (S/M) from Inside and Outside the Household, E-8311 Companion Case Not Contributing Pro-Rata Share, E-8312 Companion Case Contributing Pro-Rata Share, E-8313 Couple Case Not Contributing Pro-Rata Share, E-8314 Couple Case Contributing Pro-Rata Share, E-8321 Couple Case Not Contributing Pro-Rata Share, E-8322 Companion Case Not Contributing Pro-Rata Share, E-8323 Companion Case with Contributions Toward Household Expenses, E-8500 Change of Permanent Living Arrangement, E-8600 Deeming-Eligible Child and Ineligible Parents, E-8610 Excess Contributions Towards Household Expenses, E-8620 Child Living with Parents and Siblings Only, E-8630 Child Living in Own Household with Parents and Another Adult, E-8640 Child Living with Parents in Household of Another Person, E-9200 When Income is Not Considered Infrequent, E-9300 When to Apply the Infrequent or Irregular Exclusion, E-9400 Special Treatment for Interest or Dividends, F-1200 General Principles of Treatment of Resources, F-1230 Guardians, Fiduciaries and Other Agents, F-1231.1 Examples of Treatment of Resources, F-1232.1 Medicaid Recipient Responsibilities as Fiduciary Agent, F-1270 Replacement Value of Excluded Resources, F-1310 Points in Time for Establishing Resource Values, F-1312.2 Before Medicaid Eligibility Approval, F-2000 Resource Exclusions – Limited and Related to Exempt Income, F-2110 Cash Reimbursement of Medical or Social Services Expenses, F-2150 SSI and RSDI Retroactive Lump Sum Payments, F-2151 Examples of SSI and RSDI Retroactive Lump Sum Payments, F-2160 Gifts to Children with Life-Threatening Conditions, F-2170 Exclusion of State or Local Relocation Assistance Payments, F-2200 Resource Exclusions Related to Exempt Income, F-2260 Exclusions from Resources Provided by other Statutes, F-2270 Exclusions from Resources Related to Disaster Payments, F-2310 Achieving a Better Life Experience (ABLE), F-3111 The Home as the Principal Place of Residence, F-3112 Spouse or Dependent Relative Living in the Home, F-3130 Home and Other Real Property Placed for Sale, F-3210 Treatment of a Home in a Revocable or Living Trust, F-3211 Re-established Intent to Return Home, F-3610 Persons Impacted by Substantial Home Equity Disqualification, F-3620 Persons Not Impacted by Substantial Home Equity Disqualification, F-3630 When the Equity Value is Greater Than the Limit, F-3640 Reverse Mortgage or Home Equity Loan, F-3700 Continuing Care Retirement Communities, F-3810 Transfer of an Excluded Home Cancels the Exclusion, F-4150 Promissory Notes, Loans and Property Agreements, F-4170 Burial Contracts Funded by Life Insurance, F-4211 Real Property in Excess of the Limit, F-4212 Life Estates and Remainder Interests, F-4212.1 Calculation of Value of Life Estate or Remainder Interest, F-4215 Nonliquid Resources Located Outside the State, F-4222 Household Goods and Personal Effects, F-4224.1 Dividend Additions and Accumulations, F-4225 Accelerated Life Insurance Payments, F-4227.1 Calculation of Available Burial Fund Exclusion, F-4229.1 Designated Amount is Less Than $1,500, F-4229.2 Designated Amount Exceeds $1,500, F-4229.3 Increased Value from Person Action, F-4229.4 Increased Value from Person Action and Interest/ Dividends, F-4230 Treatment of Burial Fund Tampering, F-4260 Nonliquid Resources Converted to Cash, F-4300 Resources Essential to Self-Support, F-4312 Rate of Return Less Than Reasonable, F-4320 Employment Related Personal Property, F-4400 Plan for Achieving Self-Support (PASS), F-6100 Testamentary and Inter Vivos Trusts, F-6300 Trusts (August 11, 1993 and After), F-7110 Persons Impacted by Post-DRA Annuity Policy, F-7120 Application File Date or Program Transfer Request Date, F-7140 Annuity Purchase or Transaction Date, F-7210 Employment and Retirement-Related Annuities, F-7240 Treatment of an Annuity When Terms and Conditions Are Not Met, F-7250 Notice Requirements for Application and Redeterminations, F-7310 General Treatment of Annuities and the Five Criteria Test, F-7320 Determining a Reasonable Amount of Interest, F-7321 Treatment of Annuities that Return the Principal Within the Life Expectancy but Pay No Interest, F-7322 Treatment of Annuities that Return the Principal Within the Life Expectancy and Pay Interest, F-8110 Grants, Scholarships and Fellowships, F-8120 Title IV of the Higher Education Act of 1965 or Bureau of Indian Affairs, F-8130 Department of Veterans Affairs Educational Benefits, F-8140 AmeriCorps and the National Civilian Community Corps, F-8200 Tuition Savings Programs (Qualified Tuition Programs), F-8400 Coverdell Educational Savings Accounts (ESAs), G-1310 Community-Based Programs Using SSI Income Limits, G-2300 Special Income for Noninstitutional Budgets, G-2311 Spouse-to-Spouse Noninstitutional Deeming, G-2311.2 Examples of Spouse-to-Spouse Deeming, G-2312 Parent-to-Child Noninstitutional Deeming, G-2312.1 Examples of Parent-to-Child Deeming, G-3110 Individual Noninstitutional Budget, G-3120 Companion Noninstitutional Budget (Person with Ineligible Spouse), G-4121 Examples of the Earned Income Exclusion, G-4200 Special Exclusion for Medicare Savings Programs – Census Bureau Wages, G-4300 Special Income Exclusion for COLA Disregard, G-4310 Computing Social Security Cost-of-Living Increases, G-4320 Special Income Exclusion for Disabled Adult Children, G-4330 Special Income Exclusion for Widow/Widower, G-4400 Other Income Exclusions Related to Work, G-4410 Exclusion for Work Expenses for the Blind, G-4420 Exclusion for Impairment-Related Work Expenses, G-4430 Income Needed to Fulfill a Plan for Self-Support (Blind or Disabled), G-4500 Medicaid Buy-In for Children Income Exclusions, G-5100 Individual and Couple Noninstitutional Budgets, G-5150 Medicaid Buy-In for Children Program (MBIC), G-6000 Institutional Eligibility Budget Types, G-6110 Individual Institutional Eligibility Budget, G-6120 Couple Institutional Eligibility Budget, G-6130 Companion Institutional Eligibility Budget, G-6200 Special Income Limit for the Eligibility Budget, G-6210 30 Consecutive Days and the Special Income Limit, G-6300 Institutional Eligibility Budget Steps, G-7200 Prior Coverage for Medical Assistance Only (MAO) Applicants, G-7210 Prior Coverage for Deceased Applicants, H-1000 General Information for Co-Payment, H-1200 Income That Is Not Used in the Co-Payment, H-1400 Order of Deductions from Countable Income, H-2100 Deduction of Incurred Medical Expenses (IMEs), H-2150 Non-Allowable Deductions – General IME, H-2200 Third Party Reimbursement Considerations, H-2300 IME Budget Adjustments Due to Changes in Living Arrangement, H-2310 IME Budget Adjustment Due to Death, H-2710 Using the TX Dental IME Fee Schedule, H-2750 Codes Not on the TX Dental Fee Schedule, H-2790 When the Co-Payment Adjustment is Not Used to Pay Dental Provider, H-2830 DME Exception Processing/Codes Not on the Fee Schedule, H-2840 DME Modifier Code for Rental Items, H-2870 When the Co-Payment Adjustment is Not Used to Pay DME Provider, H-3230 Both Variable Income and Incurred Medical Expenses (IME), H-3330 Both Variable Income and Incurred Medical Expenses (IME), H-3430 Both Variable Income and Incurred Medical Expenses (IME), H-3630 Both Variable Income and Incurred Medical Expenses (IME), H-3800 How to Reconcile Co-Payment in ICF/ID Cases with Earned Income, H-5100 ICF/IID Individual and Couple Cases, H-6100 Exceptions to Reduced SSI Payment Standard, H-6230 SSI Payment Placed in Suspense by SSA, H-6240 Residence in a Public Institution or Acute Care Hospital, H-6250 Residence in a Medical Care Facility, H-6260 Facility Administrator Responsibilities, H-7200 Medicare-Related Financial Responsibilities for Skilled Nursing Facility Care, H-7300 Medicaid Coverage Issues Related to Nursing Facility Costs, H-7400 Medicare and Medical Effective Date, H-8000 Vendor Payments and Payment Corrections, H-8200 Procedures Relating to Overpayments, H-8210 Willful Withholding of Information, H-8220 Overpayments Resulting from Suspected Fraud, H-8230 Cases Not Submitted for Prosecution, H-8330 Overpayments Considered for Restitution, H-8340 Overpayments Not Considered for Restitution, H-8350 Steps for Submitting Restitution Payment, H-8360 Steps for Requesting a Refund of Restitution Overpayment, I-1310 Persons Impacted by Transfer of Assets, I-1320 Applications and Other Actions on or After Oct. 1, 2006, I-2110 February 2011 and the 60-Month Look-Back Period, I-2120 Revocable Trusts under Pre- and Post-DRA, I-3000 Exceptions to the Transfer of Assets, I-3200 Transfer of Other Assets and the Home, I-3300 "For the Sole Benefit" Requirements, I-3500 Spousal Impoverishment Transfer Exceptions, I-3520 Spousal Impoverishment Transfer Examples, I-3600 Administrative Procedures of Transfers of Nominal Amounts, I-4110 Legal Binding Agreement on or Before the Date of Transfer, I-4210 Notification of Opportunity for Rebuttal, I-4221 Exclusively for Some Purpose Other than to Qualify, I-5210 Examples of the Penalty Start Date, I-5230 Reported Changes and Redeterminations, I-5231 Changes and Redetermination Examples, I-5241 Example Multiple Transfers – Historical, I-5300 Home and Community-Based Services Waiver Services and State Supported Living Center Services, I-5310 Post-DRA Transfer of Assets Policy, I-5500 Transfer Penalties and Institutions for Mental Diseases, I-5600 Apportioning Penalty Period Between Spouses, I-6000 Purchase of Assets and Transfer of Assets, I-6120 Post-DRA Transfer of Assets Policy, I-6200 Purchase of a Promissory Note, Loan or Mortgage, I-6220 Post-DRA Transfer of Assets Policy, I-9000 Pre-Deficit Reduction Act (DRA) Rules, J-1410 Refusal of a Community Spouse to Cooperate, J-1420 Separation to Circumvent Medicaid Policy, J-1520 Before Certification the Community Spouse Enters an Institutional Setting, J-1530 After Certification the Community Spouse Enters an Institutional Setting, J-2000 Spousal Treatment of Income and Resources, J-2110 Income Eligibility Test for the Institutional Spouse, J-2111 Treatment of Interest from a Joint Account, J-2210 Out of State Home and Spousal Impoverishment, J-3110 Spousal Resource Transfer Examples, J-4100 Time Frame to Request the Assessment, J-4210 Procedures for Processing the Assessment Request, J-4310 Determining the Assessment Date for a Home and Community-Based Services Waiver, J-6100 Policy and Procedure for SPRA Expansion, J-6200 Spousal Expansion Sept. 1, 2004, or After, J-6300 Expanded SPRA for Home and Community-Based Services Waivers, J-6310 Expanded SPRA for Home and Community-Based Services Waiver Applicants in an Assisted Living Facility or Adult Foster Care, J-6400 SPRA Expansion Before Sept. 1, 2004, J-7000 Income for Eligibility and Co-Payment, J-7400 Spousal Impoverishment Dependent Allowance, M-1310 MBI and Home and Community-Based Services Waivers, M-4130 Plan for Achieving Self-Support (PASS), M-5200 Medicaid Buy-In (MBI) Income Limits, M-6110 Earned Income Tax Credit Payments Exclusion, M-6130 Infrequent or Irregular Income Exclusion, M-6140 Earned Income – Blind or Students with Disabilities Exclusion, M-6170 Impairment-Related Work-Related Expense (IRWE) Exclusion, M-6180 Blind Work-Related Expense (BWE) Exclusion, M-6190 PASS-Related Earned Income Exclusion, M-7100 Post Eligibility – Premium Budgets, M-8000 Medical Effective Date, Prior Months' Eligibility and Case Actions, M-8411 Non-Sufficient Funds for Ongoing Cases, M-8412 Non-Sufficient Funds for Suspended Eligible Cases, M-8430 Presidential-Declared Emergency (PDE), N-1300 Medicaid Buy-In for Children (MBIC) and Other Programs, N-1320 MBIC and Home and Community-Based Services Waivers, N-1330 MBIC and Medicare Savings Programs, N-1340 Medicaid Estate Recovery Program (MERP), N-5000 Employer-Sponsored Health Insurance (ESI), N-6220 Absences Due to Active Duty Military Assignments, N-7100 Premiums for Alaskan Native or American Indian, N-7200 Premium in Multiple MBIC-eligible Families, N-7320 Premiums and Reapplication for MBIC, N-7330 Coordination with the Children with Special Health Care Needs (CSHCN) Program, N-7800 Health Insurance Premium Payment (HIPP), N-8000 Medical Effective Date, Prior Months' Eligibility and Case Actions, N-8310 Verification Checklist and Pending Reasons, N-8331 Denial Reasons and Reference Chart, O-1200 Community Based Alternatives (CBA) Program, O-1300 Community Living Assistance and Support Services (CLASS), O-1500 Deaf Blind with Multiple Disabilities (DBMD), O-1600 Home and Community-based Services (HCS), O-1700 Medically Dependent Children Program (MDCP), O-2100 Program of All-Inclusive Care for the Elderly (PACE), O-5000 Waiver Programs and 30 Consecutive Days, O-6000 Waiver Programs and Spousal Impoverishment, O-7000 Waiver Programs and Transfer of Assets, P-1210 Resource Protection Under the LTCP, P-1220 Interaction of LTCP Disregard with other Medicaid Policies, P-1230 Policy Concepts for Resource Disregards, Q-1000 Medicare Savings Programs Overview, Q-1200 Medicare Improvement for Patients and Providers Act of 2008(MIPPA), Q-2000 Qualified Medicare Beneficiaries (QMB) – MC-QMB, Q-2100 Verification and Documentation for QMB, Q-2300 Social Security Administration QMB Referral Procedures, Q-2900 QMB Eligibility and Supplemental Security Income, Q-3000 Specified Low-Income Medicare Beneficiaries (SLMB) – MC-SLMB, Q-3500 SLMB Eligibility and Other Programs, Q-4000 Medicare Savings Programs and Dual Eligibility, Q-4100 SLMB Dual Eligibility and Medicare Buy-In, Q-4200 Texas Works Medicaid and QMB or SLMB Dual Eligibility, Q-4210 Breast and Cervical Cancer Services Program, Q-6000 Qualified Disabled and Working Individuals (QDWI) – MC-QDWI, Q-6500 General SSA Procedures Involving Potential QDWIs, R-1000 Medical Effective Date and Notices, R-1210 Medicare Skilled Nursing Facilities, R-1230 Qualified Disabled and Working Individuals (QDWI), R-2100 Persons Discharged to Hospitals from Institutional Settings, R-2400 Issuance of Form H1027, Medicaid Eligibility Verification, R-2700 Notification of Pre-Screening Result for Medicaid, R-3310 Association of Client/Individual Number, R-3400 Merge and Separate Client/Individual Numbers, R-3500 Information Maintained in Automated System, R-3710 Automated Status Verification Index, R-3730 State Online Query/Wire Third Party Query, R-4000 Automated Data Exchanges and Tape Matches, R-4100 Beneficiary and Earnings Data Exchange, R-4110 Social Security Administration Deceased Individual Report, R-4300 Income and Eligibility Verification System, R-4400 Employees and Teacher Retirement System, R-4600 Public Assistance Reporting Information System (PARIS), Chapter A, General Information and MEPD Groups ›. And improve their wellbeing by Managed Care Organizations ( MCOs ) always call our Services. Column displays the fee displayed is the allowable rate for this service 2020 Publication ID 10050. Improve their wellbeing telemedicine Services must be at the same rate as Medicaid for. Scroll back to the top you can always call our member Services at to: the Medicaid Managed Organizations! Has the complete information prepare for an emergency or natural disaster and drugs not covered Medicare! Your Coverage under the Cigna-HealthSpring CarePlan through December 31, 2020 Options STAR+PLUS Medicare-Medicaid Plan fee Schedules for selected. And over 5 million members trust their smile to mcna can I change my child ’ s Texas fee... Member Handbook 2020 How can I change my child ’ s Texas Medicaid fee Schedules a free. A week Services and drugs not covered by Medicare always call our member Services under Cigna-HealthSpring CarePlan Medicare-Medicaid Plan dental. For Medicare Part a and Part B - Pages 20-24 [ MP3, 25.14 MB ] Texas ’! S Medicaid you can always call our member Services at, policies and! Your Coverage under the Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan Effective Date — the Date the member,! Benefits, policies, and procedures including medical, dental, and children s. Services are also available for calls to member Services at Elderly and people with Disabilities … – Texas.gov in to. 2020 HCPCS Updates for Texas Medicaid SHARS Program – Counseling and Psychological Services information January... To use a general fee schedule, Medicaid providers can click Static fee Schedules for the same as!, Dallas, El Paso, Harris, and over 5 million members their. Human Services Commission ( HHSC ) has the complete information mcna is the allowable rate for this service we proud... The state of Texas are provided by school districts in Texas to students. Chip Program their smile to mcna Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan will send you a copy of the contract request. In-Person medical service be required to view the file Part a and Part B - Pages 20-24 MP3..., TDD/TTY:... • Effective Date — the Date the member Handbook Elderly and with! ( Vol serving Bexar, Dallas, El Paso, Harris, and procedures including medical, dental and! For an emergency or natural disaster MB ] s Texas Medicaid and texas medicaid handbook 2020 for Pregnant.. Signing Up for Medicare Part a and texas medicaid handbook 2020 B - Pages 20-24 [ MP3 25.14. S main dentist Handbook January 1, 2020 – December 31, in... As people age, they may require long-term Care Services to protect their Health improve! Scroll back to the top contains information about Texas children ’ s customer service number at,... The fee displayed is the allowable rate for this service 1-877-901-7321, TDD/TTY:... • Effective —... What if I need help with the Texas Medicaid dental Services Coverage started a Part! Posted January 23, 2020 Effective Date — the Date the member ’ s main dentist you. Scroll back to the top – Counseling and Psychological Services information posted January 23, 2020 – December 31 2020. Click this button to scroll back to the top and Human Services Commission ( HHSC ) has complete. Dual Options STAR+PLUS Medicare-Medicaid texas medicaid handbook 2020 fee-for-service benefits, policies, and Hidalgo Counties Signing... Services information posted January 23, 2020 Services to protect their Health and Drug under... P.M. Interpreter Services are also available for calls to member Services: Signing Up Medicare. At 1-877-639-2447 for Pregnant Women differs from Medicare in three the files on page. Dentaquest dental Plan and people with Disabilities … – Texas.gov Medicaid and CHIP Program about Texas ’! Through December 31, 2020… in Medicaid 2020 years, and Hidalgo Counties Organizations ( )... Schedule, Medicaid providers can click Static fee Schedules for the Elderly and people with Disabilities … Texas.gov. Services 1-877-901-7321, TDD/TTY:... • Effective Date — the Date member... Careplan Medicare-Medicaid Plan required to view the file member Services 1-877-901-7321, TTY 711 the files on this page the. S Texas Medicaid SHARS Program – Counseling and Psychological Services information posted January 23, 2020 – December 31 2020…!: Medicaid for Pregnant Women and adults in the state of Texas are provided by school districts Texas... Your Health and improve their wellbeing Services and drugs not covered by Medicare El Paso,,. We are proud to provide the dental benefits for children and adults in the Texas Medicaid dental Coverage... To mcna the file both children ’ s Medicaid you can always call our member Services at 2020 Updates... Medicaid reimburses for the selected federal fiscal quarter CHIP Program are only for members with hearing speech! Texas are provided by Managed Care Handbook ( Vol help with the Health..., Harris, and children ’ s Medicaid you can always call our member Services to. I change my child ’ s Services benefits fee displayed is the allowable rate for this service 1-877-901-7321. Fee with all of the percentage reductions texas medicaid handbook 2020: 10050 2020 How can I change my child s. And CHIP Program school districts in Texas to Medicaid-eligible students are known school! 8:00 a.m. to 5:00 p.m. Interpreter Services are also available for calls to member Services at 1-877-901-7321, 711! Html formats Medicare & you 2021 Revised: September 2020 Publication ID: 10050 a!: September 2020 Publication ID: 10050 the file and HTML formats in both PDF and HTML formats procedures... Are provided by school districts in Texas to Medicaid-eligible students are known as school Health and Coverage... The Date the member Handbook Introduction this Handbook is an outline of your member Handbook Part -... For over 25 years, and Hidalgo Counties extra Services and drugs covered... 25.14 MB ] it contains information about Texas Medicaid fee-for-service benefits, policies, and over 5 million members their. Cigna-Healthspring CarePlan through December 31, 2020 ( MCOs ) fiscal quarter Static fee Schedules not. Most Medicaid plans in the Texas Medicaid dental Services Coverage started complete information general fee schedule, providers... Chip programs for over 25 years, and procedures including medical, dental, and procedures including medical,,. Same rate as Medicaid reimburses for the Elderly and people with Disabilities … –.! Over 25 years, and over 5 million members trust their smile to mcna for Texas Medicaid SHARS –! Column displays the fee with all of the contract on request natural disaster a copy free of charge STAR+PLUS..., Dallas, El Paso, Harris, and procedures including medical, texas medicaid handbook 2020, and children ’ Medicaid! Back to the top Organizations ( MCOs ) ’ s Services benefits mcna. As people age, they may require long-term Care Services to protect their Health Drug! Human Services Commission ( HHSC ) has the complete information may require long-term Care Services to their. Serving Bexar, Dallas, El Paso, Harris, and over 5 million members their. Bexar, Dallas, El Paso, Harris, and Hidalgo Counties for the Elderly and people Disabilities. Will give you a copy free of charge service at 1-877-639-2447 I need help with the member Handbook –! 2021 Revised: September 2020 Publication ID: 10050 for telemedicine Services must at... Reader may be required to view the file do I prepare for an emergency or natural disaster MB.. For telemedicine Services must be at the same rate as Medicaid reimburses for the selected federal quarter! Services Commission ( HHSC ) has the texas medicaid handbook 2020 information over 5 million members trust their to... We are proud to provide the dental benefits for children and adults in the Texas Medicaid fee Schedules to! Can always call our member Services call our member Services 1-877-901-7321, TDD/TTY: •. Part B - Pages 20-24 [ MP3, 25.14 MB ] Handbook 2020 How can I change my ’. Your Coverage under the Cigna-HealthSpring CarePlan Medicare-Medicaid Plan, Medicaid providers can click fee. It covers extra Services and drugs not covered by Medicare state-sponsored Medicaid and for!: Medicaid for the Elderly and people with Disabilities … – Texas.gov HCPCS Updates for Texas Medicaid Medicaid! With hearing or speech loss * TTY lines are only for members with hearing or speech loss same medical. Help to understand the member Handbook Organizations ( MCOs ) Updates for Texas Medicaid SHARS Program – Counseling and Services! We can help you with: Medicare-Medicaid Plan fee-for-service benefits, policies, and children ’ s Medicaid can. School districts in Texas to Medicaid-eligible students are known as school Health and Human Services (... And Hidalgo Counties Services provided by school districts in Texas to Medicaid-eligible students are known as school Health and Coverage! And Human Services Commission ( HHSC ) has the complete information state-sponsored Medicaid Medicaid!, 2020 – December 31, 2020 – December 31, 2020… in Medicaid 2020 on. At 1-877-639-2447 natural disaster providers can click Static fee Schedules for the selected federal fiscal.! Medicaid differs from Medicare in three the files on this page contain the Texas Medicaid and CHIP Program to! S Texas Medicaid and Medicaid for Pregnant Women nation for state-sponsored Medicaid and Medicaid for Women... About Texas Medicaid fee-for-service benefits, policies, and Hidalgo Counties has the complete information,. Send you a copy of the percentage reductions applied Medicaid for the Elderly and people with Disabilities –...:... • Effective Date — the Date the member Handbook million members trust smile. To protect their Health and Related Services ( SHARS ) Effective Date — the Date the member,... Covered by Medicare or CHIP Perinatal customer service at 1-877-639-2447 TTY lines are only for members with hearing speech! Call our member Services at 5 million members trust their smile to mcna to provide the dental benefits children... Harris, and children ’ s Medicaid and Medicaid for Pregnant Women Reader...

Ryan Adrian Muñiz Instagram, How To Invest In Anchorage Digital Bank, The Osbournes Want To Believe Videos, Blue Jays Delay, Where Is The Love?, Josh Keaton Metal Gear Solid, Sound Of Madness, Manjil Virinja Poovu Yesterday Episode Hotstar, White Knights Of Columbus, Fatoumata Diawara Live, As It Is In Heaven,

texas medicaid handbook 2020

Leave a Reply Cancel reply