M
Payer Directory
How to check Medicaid Texas (Long Term Care) eligibility
A portal or phone check takes a front-desk staffer 10–15 minutes per patient. A real-time 270/271 check returns plan status, copays, deductibles, and out-of-pocket maximums in seconds.
Payer ID
SKTX2Real-time 270/271Enrollment required · weeksMedicaidThree ways to verify Medicaid Texas (Long Term Care) coverage
- Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
- Phone (IVR) — hold times vary; no written record for the chart.
- Automated 270/271 check — full benefit detail in seconds, batched for the whole schedule, from $0.50 per check.
Medicaid Texas (Long Term Care) at a glance
What billers need before running a check.
Payer ID
SKTX2Also known as 11208, 12K96, 2904, 617591011CMSP
Real-time eligibility
After enrollment
A one-time enrollment is required before checks can run (about weeks).
Coverage
dental, medical
Medicaid
Operating area
Texas
Payer website
www.tmhp.comSupported transactions
What can be exchanged electronically with Medicaid Texas (Long Term Care) today.
| Transaction | Status |
|---|---|
Eligibility (270/271) Real-time benefit and coverage checks | ENROLLMENT REQUIRED |
Claim status (276/277) Where a submitted claim stands | NOT AVAILABLE |
Professional claims (837P) Physician and outpatient claims | ENROLLMENT REQUIRED |
Institutional claims (837I) Facility claims | ENROLLMENT REQUIRED |
Dental claims (837D) Dental claims | NOT AVAILABLE |
Remittance (835 ERA) Electronic remittance advice | ENROLLMENT REQUIRED |
Coordination of benefits Secondary-payer routing | NOT AVAILABLE |
Claim attachments (275) Supporting documentation | NOT AVAILABLE |
Portal vs. phone vs. automated
The same verification, three ways.
| Payer portal | Phone / IVR | Automated check | |
|---|---|---|---|
| Time per patient | 10–15 min | 15–30 min | Seconds |
| Cost per check | ~$6.72 staff time* | ~$6.72+ staff time* | from $0.50 |
| Record for the chart | Screenshot | None | Full audit trail |
| Whole-day schedule | One at a time | One at a time | Batched overnight |
*CAQH Index benchmark for a manual eligibility verification.
Frequently asked questions
What is the payer ID for Medicaid Texas (Long Term Care)?+–
Medicaid Texas (Long Term Care) uses payer ID SKTX2. It also appears as 11208, 12K96, 2904, 617591011CMSP in some systems.
Does Medicaid Texas (Long Term Care) support real-time eligibility verification?+–
Yes. Medicaid Texas (Long Term Care) supports real-time 270/271 eligibility checks after a one-time enrollment that typically takes weeks. Once enrolled, checks return in seconds.
How long does a Medicaid Texas (Long Term Care) eligibility check take?+–
A portal check takes 10–15 minutes of staff time per patient. An automated real-time check returns in seconds and can run for an entire day's schedule overnight.
Run your first Medicaid Texas (Long Term Care) eligibility check in 5 minutes
From $0.50 per check, pay-as-you-go. No contract, no implementation project.
65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production
