Texas Medicaid Complaint Hotline

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Medicaid and CHIP - Contact Us Texas Health and Human ...

    https://hhs.texas.gov/services/health/medicaid-chip/about-medicaid-chip/medicaid-chip-contact-us
    Call the Medicaid client hotline at 800-252-8263 or visit the Managed Care page on our website. To apply for benefits, visit YourTexasBenefits.com. Call Center General Inquiries Line at 800-925-9126 or visit the Contact Center website (link is external). No matter where you live in Texas,...

HHS Ombudsman Managed Care Help Texas Health and Human ...

    https://hhs.texas.gov/about-hhs/your-rights/office-ombudsman/hhs-ombudsman-managed-care-help
    Call the Texas Medicaid Healthcare Partnership Third Party Resources Hotline at 800-846-7307. To whom do I report Medicaid fraud, waste or abuse? Call the Office of Inspector General at 800-436-6184.

How Do I Make a Complaint about an HHS ... - hhs.texas.gov

    https://hhs.texas.gov/about-hhs/your-rights/complaint-incident-intake/how-do-i-make-a-complaint-about-hhs-service-provider
    You can make a complaint by mail or fax, but HHS prefers that people call or email us so we can get all the information right away to investigate and resolve a complaint. If you need to send something through the mail or via fax, please send it to: Texas Health and Human Services Complaint and Incident Intake Mail Code E249 P.O. Box 149030

HHS Ombudsman - Complaint Process Texas Health and Human ...

    https://hhs.texas.gov/about-hhs/your-rights/office-ombudsman/hhs-ombudsman-complaint-process
    Managed care services (Medicaid or CHIP): Contact your health plan Get a Ride: Visit the Medical Transportation Program page . Medical Transportation Program: Call toll free at 877-633-8747 or visit the Getting a Ride - Frequently Asked Questions page .

HHS Office of the Ombudsman Texas Health and Human Services

    https://hhs.texas.gov/about-hhs/your-rights/hhs-office-ombudsman
    Contact your provider or caseworker to see if they can explain their decision or correct the problem. If you still can't get it resolved, call 877-787-8999 or complete our online form. You can also send a fax to 888-780-8099 or write to: HHS Office of the Ombudsman P.O. Box 13247 Austin, Texas 78711-3247

Report Fraud, Waste or Abuse OIG - Texas

    https://oig.hhsc.texas.gov/report-fraud
    You can report suspected fraud, waste, or abuse by recipients or providers in Texas health and human services programs online or by calling our toll-free fraud hotline (800-436-6184). The programs involved include: Medicaid; The Supplemental Nutrition Assistance Program (SNAP, formerly known as Food Stamps) Temporary Assistance for Needy ...

Contact Us

    http://www.tmhp.com/pages/tmhp/tmhp_contacts.aspx
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Contact Your State With Questions Medicaid.gov

    https://www.medicaid.gov/about-us/contact-us/contact-state-page.html
    Medicaid contacts for the 50 United States, the District of Columbia, the US Virgin Islands, and Puerto Rico.

Welcome to TMHP

    http://www.tmhp.com/
    Welcome to the Texas Medicaid & Healthcare Partnership (TMHP) website. TMHP is a group of contractors under the leadership of Accenture. Accenture administers Texas Medicaid and other state health-care programs on behalf of the Texas Health and Human Services Commission.

Medicaid Managed Care Complaints - AIP-Texas

    https://www.aiptexas.org/medicaid-complaints
    Complaints for any Medicaid Patients in Managed Care can be submitted by calling (866) 566-8989. If you would like to make your complaint in writing send it to: Texas Health and Human Services Commission Health Plan Operations – H-320

Health insurance complaints - tdi.texas.gov

    https://www.tdi.texas.gov/consumer/health-complaints.html
    You can file a complaint with TDI for: Plans that have “TDI” or “DOI” on the ID cards. (See examples) Medicare supplements. Long-term care insurance and disability plans. Short-term insurance and other limited benefit plans. Not sure? Call us at 1-800-252-3439, and …

How to file a complaint (grievance) Medicare

    https://www.medicare.gov/claims-appeals/how-to-file-a-complaint-grievance
    Find out how to file a complaint (also called a "grievance") if you have a concern about the quality of care or other services you get from a Medicare provider. Contact your State Health Insurance Assistance Program (SHIP) for local, personalized Medicare counseling.

Physician/Provider Information and Advice for Physicians ...

    https://tdi.texas.gov/hprovider/doctors3.html
    Texas Medicaid and Healthcare Partnership Claims P.O. Box 200555 Austin, TX 78720-0555 1-800-925-9126 www.tmhp.com/Pages/default.aspx?sdupgwelredir=1. Medicare. If your complaint involves a Medicare claims issue, please be aware that those issues fall under the authority of the U. S. Department of Health and Human Services (Social Security Administration).

Contact Us Texas Medicaid Superior HealthPlan

    https://www.superiorhealthplan.com/contact-us.html
    Contact Us As a member of Superior HealthPlan, you can call Member Services if you have questions about your health plan. You can also call if you need help finding a doctor, scheduling an appointment, getting a new ID card or accessing benefits and services.

File a Complaint CMS

    https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/Enforcements/FileaComplaint
    To file an Administrative Simplification HIPAA-related paper complaint rather than an electronic one, please complete the OMB approved form 0938-0948 (PDF) and return to the Centers for Medicare and Medicaid Services (CMS) with any related supporting documentation.

Texas CMS - Centers for Medicare and Medicaid Services

    https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/FinancialAlignmentInitiative/Texas
    Texas Dual Eligible Integrated Care Demonstration Project Model. On May 23, 2014, the Centers for Medicare & Medicaid Services (CMS) announced that the State of Texas partnered with CMS to test a new model for providing Medicare-Medicaid enrollees with a …

Filing complaints about a doctor, hospital, or provider ...

    https://www.medicare.gov/claims-appeals/file-a-complaint/filing-complaints-about-a-doctor-hospital-or-provider
    You may have a complaint about improper care (like claims of abuse to a nursing home resident) or unsafe conditions (like water damage or fire safety concerns). To file a complaint about improper care or unsafe conditions in a hospital, home health agency, hospice, or nursing home, contact …



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