August 2018
Reminder: Enrollment Deadline Extension for LTSS Providers
Long-term Services and Supports (LTSS) providers serving managed care members (MCO LTSS providers) are now required to enroll through the Medicaid MCO LTSS provider enrollment process. The deadline to enroll has been extended to Sept. 1, 2018.
Background
An MCO (Managed Care Organization) LTSS provider is any person who provides LTSS services under a specific NPI and taxonomy combination through Medicaid Managed Care, but does not have an:
- active Texas Provider Identifier number through the Texas Medicaid & Healthcare Partnership,
- Atypical Provider Identifier, or
- enrollment through the Department of Aging and Disability Services (Legacy).
Submit Applications Now
To allow sufficient time for application processing, MCO LTSS providers are strongly advised to submit applications as soon as possible. The MCOs will cease claims processing Sept. 1, 2018, for any MCO LTSS provider who has not successfully completed the enrollment process.
How to Enroll
To enroll, providers must email their business name, tax identification number, National Provider Identifier and taxonomy code to MCO_LTSS_Provider_Re-Enrollment@hhsc.state.tx.us.
Non-enrollment Claims Denials
Providers who have completed enrollment, but are receiving denials due to non-enrollment, should follow the respective MCO’s claims and appeals process, or contact the MCO directly.