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  • Posted in: Open Forum

    Good morning. I hope this finds you all well.  Although it is not ideal to have a late recertification, it is my understanding that it can be done and a warning will generate that it is outside the ReCert window when submitting to CMS.  Has this changed ...

  • Members, HHSC released its most recent Quarterly Therapy Access Monitoring Report (Dec. 2019). TAHC&H consultant, Lindsay Littlefield, put together the analysis. The biggest take away from the quarterly report is it shows an increase to the wait ...

  • Thank you!! Children's Home Care Cory Elizabeth Casperson Chief Financial Officer phone (281) 921-2301 | fax (281) 921-2305 14950 Heathrow Forest Parkway | Suite 250 | Houston, TX 77032 CCasperson@ChildrensHomeCare.net ...

  • Hi Cory,  Below is the link to the information you need, your scenario is addressed in the first paragraph.  https://hhs.texas.gov/sites/default/files/documents/services/health/medicaid-chip/provider-information/MCO_TPL_Guidance_Updated.pdf ------------------------------ ...

  • Good afternoon. Recently we have started receiving denials from United Healthcare Community Plan (Medicaid) on secondary claims IF the primary insurance denied our claim in full. For example, if Cigna denies our claim because we are out of network, ...

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