TMHP Oversight Results in Misdirected SHARS Claims

Niki KellyIndustry News

A significant oversight occurred during a recent system update by the Texas Medicaid & Healthcare Partnership (TMHP), resulting in SHARS Medicaid claims being erroneously dispatched to various Managed Care Organizations (MCOs) across Texas. This TMHP error led to numerous districts receiving unwarranted denial notices for student claims. We want to … Read More

District SHARS Revalidation Due Date Extension and Retroactive Enrollment Period Effective Dates

Heidi BickhamMedicaid, Uncategorized

Revalidation Due Date Extension and Retroactive Enrollment Period Effective Dates Last updated on 11/22/2024 Effective December 13, 2024, providers will receive an additional 180 calendar days to complete revalidations in the Provider Enrollment and Management System (PEMS). Additionally, the Texas Medicaid and Healthcare Partnership (TMHP) and the Texas Health and Human … Read More

Certification of Funds (COF) Statement – 4th Quarter

Heidi BickhamMedicaid, Uncategorized

COF Statements: The quarterly Certification of Funds statement from TMHP will arrive shortly.  As you know, Onward provides a report outlining the information you need in order to complete this document. In your Onward Administrator account, please select Reports/Financial.  There you will find a report titled ‘Certification of Funds‘.  Please select the date range for … Read More

FYI: SHARS Electronic Remittance Advice Agreements

Heidi BickhamMedicaid

Changing Vendors? As part of the change process from one vendor to another, TMHP now sends an informational email out to LEAs – letting them know a change in 3rd party authorization has occurred. ERAs are only submitted to TMHP and HHSC when districts change vendors.  No action is required … Read More

COF Statement from TMHP Should Arrive Soon

Heidi BickhamMedicaid

The quarterly Certification of Funds statement  from TMHP will arrive shortly.  As you know, Onward provides a report outlining the information you need in order to complete this document. In your Onward Administrator account, please select Reports/Financial.  There you will find a report titled ‘Certification of Funds‘.  Please select the date range for the quarter April 1, … Read More

LoFT Deadline Alert: DUE DATE 10/31/2023

Heidi BickhamIndustry News, Medicaid

LoFT Deadline Alert – DUE DATE 10/31/2023 Local Funds Tracking System Texas Health and Human Services Website: https://shorturl.at/mnCV1 FAQ:**NEW**: https://shorturl.at/goLOP Questions: PFD_LFM@hhs.texas.gov Live Support Chat every Thursday: Live support meetings will be held every Thursday during reporting (19 and 26) at 11 a.m. (CST) Call in to join: (512) 580-4366 … Read More

SHARS: Texas Medicaid Provider Procedures Manual

Stasia ViatorMedicaid

Referred to often as the TMPPM, the Texas Medicaid Provider Procedures Manual is a comprehensive guide for Texas Medicaid providers. It contains information about Texas Medicaid policies, and procedures including SHARS. The TMPPM is updated monthly on the TMHP website at www.tmhp.com to include revisions to policies and procedures that went into effect in … Read More