This training helps you understand how to appeal Medicaid claim decisions made by the Texas Medicaid & Healthcare Partnership (TMHP). You will also discover resources to help navigate the appeals process effectively.

This training has been designed to give you the most up-to-date information, as of the publication date.
It is your responsibility to regularly review the current provider manuals, reference materials, and all updated information as it’s published on the Texas Medicaid & Healthcare Partnership (TMHP) website at www.tmhp.com.

You have the opportunity to provide feedback regarding your online training experience. We value your opinions and ask that you complete a brief survey upon the conclusion of this training.

An accessible PDF is available for your convenience.

Learn about different types of claim appeals and when to use them.
Understand the step-by-step instructions for filing appeals using various methods.
Review the deadlines for submitting appeals to ensure they are processed on time.

Medicaid Claim Appeals

By the end of this course, you will be able to:

Content
Complete 1 in any order

Medicaid Claim Appeals eLearning

Medicaid Claim Appeals Accessible PDFs

Recommended Training
Optional

Claim Appeals for CSHCN

Administrative Appeals Job Aid

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