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Questions and phone payments on Texas Health hospital bills; have the guarantor number from the statement. Same contacts handle financial assistance appointment requests.

Children with Special Health Care Needs (CSHCN) Services Program: claim research, prior authorization, policy and billing.

Fax sterilization consent forms at least five business days before submitting the related claims.

Second-level or administrative appeals of fee-for-service claims go to HHSC, not TMHP.

Nursing facility and LTC providers; alternate number 800-727-5436.

PCS PA phone; PCS claims and general inquiries use the TMHP Contact Center.

Claims status, eligibility, provider inquiries, EDI and NPI for THSteps Dental; dental PA by mail. Most children's dental is through dental plans.

Published on the current VDP Pharmacy Providers contact page. Pharmacy enrollment is handled separately through TMHP and PEMS. No dedicated email or fax is published for this pharmacy and technical call center.

First-level appeals (excluding zero allowed/zero paid) and rejected electronic claims past the 95-day filing deadline.

Non-emergency ambulance PA for Texas Medicaid fee-for-service.

Automated eligibility/claims info and other-insurance (TPR) verification and updates.

Texas Medicaid fee-for-service (TMHP) per the Quick Reference Guide revised 8/20/2025. Managed care claims go to the member's MCO/dental plan.

Fee-for-service Texas Medicaid claim status, appeal process and claim submission instructions. Managed care (STAR/STAR+PLUS/STAR Kids/CHIP) claims go to the member's MCO.

CCP inpatient psychiatric PA (fee-for-service).

CCP (Texas Health Steps-CCP, under 21) PA requests and appeals.

Provider general inquiries for Texas Medicaid, Healthy Texas Women and the Family Planning Program. The published provider-relations email is separately designated for enrollment assistance. The pharmacy-provider page also directs enrollment questions to TMHP. The current menu assigns enrollment to option 3.

TexMedConnect access, EDI enrollment, transmission verification, file rejections, ER&S report downloads and IAMOnline login issues.

Default address for written correspondence unless another address is indicated.

Home health and durable medical equipment PA for Texas Medicaid fee-for-service.

Questions about FFS prior authorization submission format, instructions and the appeal process. PA requests are submitted through PA on the Portal.

Enrollment applications and provider account updates (address/phone changes may also be faxed here).

Behavioral health, transplants, surgical authorizations, total parenteral nutrition and out-of-state services (list not all-inclusive).

Other insurance (TPR) and tort/casualty questions for Texas Medicaid clients.

Texas Medicaid fee-for-service, CSHCN and Kidney Health Care outpatient drug PA. Online PA via the VDP provider portal. MCO members use their plan's PBM.

Texas Mutual states it partners with Jopari Solutions for medical billing and payments; payer ID 22945. Jopari support is for electronic billing and payment-portal help (include the provider TIN and reference Texas Mutual). Texas requires electronic bills except for small providers meeting the stated exemption. Not a Texas Mutual claims-decision line. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

Texas Mutual's published healthcare provider line (888-53-CLAIM). Per the provider FAQ, providers can use it to retrieve claim numbers (Option 2 then Option 1), check bill status after 30 days, learn whether an employer participates in the WorkWell, TX network, and discuss preauthorization. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

Texas Mutual states it partners with Optum for injured-employee prescriptions; this is the number it publishes for Optum assistance (First Fill program available before a claim is filed). For prescribers and pharmacies helping a patient with a compensable injury. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

Per the provider FAQ, complete the preauthorization request form with clinical documentation and email it or fax it. The address is a utilization-review referral mailbox published on Texas Mutual's page. Preauthorization addresses medical necessity, not compensability, and is not a guarantee of payment. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

Per the provider FAQ, call to check the status of a preauthorization request or to find out whether a procedure requires preauthorization. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

Per the provider FAQ, a request for reconsideration goes by fax and must include a copy of the original bill, the EOB and a claim-specific explanation under DWC Rule 133.250. Providers have 10 months from date of service to appeal. Medical fee disputes go to the Texas Department of Insurance, not this fax. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

Texas Mutual's WorkWell, TX healthcare network administration contacts as published on the provider page: network participation and network questions. Not for bill submission. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

Intake phone listed in the HHSC directory. Texas HHSC-contracted local mental health authority; counties served: Armstrong, Carson, Collingsworth, Dallam, Deaf Smith, Donley, Gray, Hall, Hansford, Hartley, Hemphill, Hutchinson, Lipscomb, Moore, Ochiltree, Oldham, Potter, Randall, Roberts, Sherman, Wheeler. Website: https://www.texaspanhandlecenters.org/. Crisis line (24/7 referral help): 800-692-4039 / 806-359-6699.

Main phone listed in the HHSC LMHA/LBHA directory. Texas HHSC-contracted local mental health authority; counties served: Armstrong, Carson, Collingsworth, Dallam, Deaf Smith, Donley, Gray, Hall, Hansford, Hartley, Hemphill, Hutchinson, Lipscomb, Moore, Ochiltree, Oldham, Potter, Randall, Roberts, Sherman, Wheeler. Website: https://www.texaspanhandlecenters.org/. Crisis line (24/7 referral help): 800-692-4039 / 806-359-6699. For patient access use the intake/crisis lines; not a payer claims line.

DSHS regional office administrative public-health support. County tags follow the official Health Service Region table and identify the regional administrative area; they do not identify a county office, hospital service area, insurance coverage, or availability of a particular clinical service. Ask the office for the appropriate local program or department. Phone, fax, and address are from this region's Get in Touch contact card. The page separately labels 806-783-6400 as Clinic Phone; the main administrative phone is listed here.

DSHS regional office administrative public-health support. County tags follow the official Health Service Region table and identify the regional administrative area; they do not identify a county office, hospital service area, insurance coverage, or availability of a particular clinical service. Ask the office for the appropriate local program or department. Phone, fax, and address are from this region's Get in Touch contact card. The page separately publishes TTY 800-440-7571.

DSHS regional office administrative public-health support. County tags follow the official Health Service Region table and identify the regional administrative area; they do not identify a county office, hospital service area, insurance coverage, or availability of a particular clinical service. Ask the office for the appropriate local program or department. Phone, fax, and address are from this region's Get in Touch contact card.

DSHS regional office administrative public-health support. County tags follow the official Health Service Region table and identify the regional administrative area; they do not identify a county office, hospital service area, insurance coverage, or availability of a particular clinical service. Ask the office for the appropriate local program or department. Phone, fax, and address are from this region's Get in Touch contact card.

DSHS regional office administrative public-health support. County tags follow the official Health Service Region table and identify the regional administrative area; they do not identify a county office, hospital service area, insurance coverage, or availability of a particular clinical service. Ask the office for the appropriate local program or department. Phone, fax, and address are from this region's Get in Touch contact card.

DSHS regional office administrative public-health support. County tags follow the official Health Service Region table and identify the regional administrative area; they do not identify a county office, hospital service area, insurance coverage, or availability of a particular clinical service. Ask the office for the appropriate local program or department. Phone, fax, and address are from this region's Get in Touch contact card. The page separately publishes TTY 254-771-6785.

DSHS regional office administrative public-health support. County tags follow the official Health Service Region table and identify the regional administrative area; they do not identify a county office, hospital service area, insurance coverage, or availability of a particular clinical service. Ask the office for the appropriate local program or department. Phone, fax, and address are from this region's Get in Touch contact card.

DSHS regional office administrative public-health support. County tags follow the official Health Service Region table and identify the regional administrative area; they do not identify a county office, hospital service area, insurance coverage, or availability of a particular clinical service. Ask the office for the appropriate local program or department. Phone, fax, and address are from this region's Get in Touch contact card.

Listed under Texas Tech Physicians Family Medicine (Amarillo) for hospitals; pharmacies (806.351.3766) and home health agencies (806.351.3765) have separate lines on the page.

Referring-provider contact for Amarillo pediatric specialists and general pediatrics; main e-fax shown (Hillside e-fax 806.414.9011 also listed).

Referring-provider contact listed for Amarillo psychiatry.

Referring-provider contact listed for Amarillo surgery.

Amarillo campus: submit completed HIPAA authorization with valid photo ID by fax, email, online or in person; 15 business days to complete.

Lubbock Release of Information Office. Requests must be in writing (online via MRO, in person, mail or fax a signed authorization). Call to have the authorization form emailed or faxed.

For referring providers sending general referrals to Texas Tech Physicians Lubbock clinics (general referral form on the page). Psychiatry/ECT have separate forms. Patients should contact their primary care provider.

Amarillo physician-practice statements; have the account number from the statement ready.

Permian Basin (Midland/Odessa) physician-practice statements.