Superior to Override Timely Filing for Claims Impacted by Texas Medicaid Healthcare Partnership’s (TMHP) Eligibility Verification Issues

Date: 05/16/22

Electronic Visit Verification (EVV) visits beyond the 95-Day visit maintenance timeframe affected by Texas Medicaid Healthcare Partnership’s (TMHP) eligibility verification issues are having the Failed To Export (FTE) edit bypassed and are being exported to the EVV Aggregator. Impacted claims with dates of service October 27, 2020 through June 30, 2021 that are forwarded to Superior with a successful EVV claims match (EVV01) or EVV claims bypass (EVV07 or EVV08) will have the timely filing deadline requirement waived.

For questions regarding claim payment, please contact EVV@TMHP.com or AM.LTSS@superiorhealthplan.com.