Important Claims Submission Information for HCS and TxHmL Programs

May 24, 2022

Some Home and Community-based Services and Texas Home Living claims submitted to Texas Medicaid and Healthcare Partnership between May 2 and May 13 were rejected in error. HCS and TxHmL claims that were rejected with the following explanation of benefits can now be resubmitted for processing:

  • F0155: Unable to determine appropriate Fund Code for Service billed, verify Medicaid Eligibility.
  • F0174: Claim is for a Service Group that is mutually exclusive with Service Group for previous claim.
  • F0286: Can only bill for incremental (0.50, 0.75 and whole) units for specified services.

Read the full alert here.