Review Texas Medicaid and Healthcare Partnership CPW program changes

As of Dec. 1, 2024, we no longer require prior approvals or requests for follow-up visits to the Texas Medicaid and Healthcare Partnership (TMHP) Children and Pregnant Women (CPW) program services.

This change is in response to TMHP’s recent announcementopen_in_new of removing required prior approvals for these services, which can help our members access care faster.

New submission requirements

For CPW claims on or after Dec. 1, 2024, you’ll need to upload documentation for each comprehensive claim using the following approved health and human services commission (HHSC) documents:

• CM-01A, Referral and Intakeopen_in_new
• CM-02, Family Needs Assessmentopen_in_new
• CM-03E-S, Service Planopen_in_new
• CM-03ConE-S, Service Plan Consentopen_in_new

For CPW claims before Dec. 1, 2024, prior approvals are still required.

How to submit a claim

You can submit a claim through the UnitedHealthcare Provider Portal:

• Go to UHCprovider.com and click Sign In at the top-right corner
  • New users without a One Healthcare ID, visit UHCprovider.com/access to get started
• In the menu, select Claims & Payments > Submit a Claim
• Complete the fields, attach supporting documents and submit

To learn more about claim submissions, click hereopen_in_new.

Questions?

If you have questions, email cpw@uhc.com. 

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