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Your Texas Benefits Medicaid Card - Texas Health and Human ...

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<strong>Your</strong> <strong>Texas</strong> <strong>Benefits</strong> <strong>Medicaid</strong> <strong>Card</strong><br />

Frequently Asked Questions for Release 2: Provider<br />

Questions about the <strong>Your</strong> <strong>Texas</strong> <strong>Benefits</strong> <strong>Medicaid</strong> card<br />

Do patients need to bring their cards to the office<br />

<strong>Medicaid</strong> encourages clients to take their card to each doctor office visit. However, the<br />

provider’s office staff can use other demographic information to verify <strong>Medicaid</strong> eligibility for<br />

patients who don’t bring their card.<br />

Will the card have information about the patient’s <strong>Medicaid</strong> dental services plan<br />

Yes. Beginning in March 2012, cards for children that get <strong>Medicaid</strong> dental services will have the<br />

name of the dental plan printed on the front.<br />

Questions about <strong>Your</strong><strong>Texas</strong><strong>Benefits</strong><strong>Card</strong>.com<br />

What information is available on the <strong>Your</strong><strong>Texas</strong><strong>Benefits</strong><strong>Card</strong>.com<br />

• Providers can verify patient <strong>Medicaid</strong> eligibility on the website. When patients don’t bring<br />

their <strong>Your</strong> <strong>Texas</strong> <strong>Benefits</strong> <strong>Medicaid</strong> cards or medical or dental plan ID cards, providers can<br />

still verify their eligibility using the patient control number (PCN) or patient name <strong>and</strong> date<br />

of birth.<br />

• <strong>Texas</strong> <strong>Health</strong> Steps checkup information lets providers know if patients (<strong>and</strong> their <strong>Medicaid</strong>qualified<br />

family members) are due for medical <strong>and</strong> / or dental checkups.<br />

• Office visit history.<br />

Will more patient information be added to the website<br />

Yes! Look for the following <strong>Medicaid</strong> patient information to be added in 2012:<br />

• Prescription drug history.<br />

• Immunization history.<br />

• Dental history.<br />

Patients can “opt out” of sharing their <strong>Medicaid</strong> health information by calling 1-877-518-0899 or<br />

online at www.<strong>Your</strong><strong>Texas</strong><strong>Benefits</strong>.com.<br />

Can I print out a patient’s visit history<br />

Yes. Visit history comes from <strong>Medicaid</strong> claims data that is stored in the system. The report can<br />

be printed any time the provider needs a paper record.<br />

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<strong>Your</strong> <strong>Texas</strong> <strong>Benefits</strong> <strong>Medicaid</strong> <strong>Card</strong><br />

Frequently Asked Questions for Release 2: Provider<br />

Can I use <strong>Your</strong><strong>Texas</strong><strong>Benefits</strong><strong>Card</strong>.com to share a patient’s <strong>Medicaid</strong> health history<br />

with other providers<br />

• Not at this time. Direct provider-to-provider communication <strong>and</strong> sharing will be available<br />

in the future. In the meantime, doctors <strong>and</strong> other approved <strong>Medicaid</strong> providers can use<br />

<strong>Your</strong><strong>Texas</strong><strong>Benefits</strong><strong>Card</strong>.com to view a patient’s health history generated from <strong>Medicaid</strong><br />

claims records—unless the patient has opted out of medical information sharing.<br />

• Patients can “opt out” of sharing their <strong>Medicaid</strong> health information by calling<br />

1-877-518-0899 or online at www.<strong>Your</strong><strong>Texas</strong><strong>Benefits</strong>.com.<br />

Can I print out a patient’s visit history<br />

Yes – if you use the <strong>Your</strong><strong>Texas</strong><strong>Benefits</strong><strong>Card</strong>.com website to check patients in when they visit<br />

your office. The system stores visit history information for all patients at the time they check in.<br />

Providers can view, download, or print the history for one patient or a list of patients.<br />

Where can patients find information about vision <strong>and</strong> dental providers<br />

Patients looking for a <strong>Texas</strong> <strong>Health</strong> Steps doctor for their child can call toll-free 1-877-847-8377<br />

(1-877-THSteps) or they can use the Provider Lookup at TMHP.com. Click on the red “Provider<br />

Lookup” banner on the left side of the screen <strong>and</strong> follow the instructions.<br />

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