Medicaid Texas - Acute

Summary

Medicaid Texas - Acute is a dental, medical, and vision payer operating in Texas. Claims route under payer ID 86916, with 6 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

86916Also seen as 00350, 1470, 617591011C21P, 617591011C21T, CKTX1, ELOGE

Also known as

Children with Special Healthcare Needs (CSHCN), Medicaid Texas Health Steps, TMHP(Acute), TMHP/Texas Medicaid & Health Partnership (Acute)

Service area

TX

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Medicaid Texas - Acute?

The payer ID for Medicaid Texas - Acute is 86916. Alternate IDs seen across clearinghouses include 00350, 1470, 617591011C21P, 617591011C21T.

Does Medicaid Texas - Acute require ERA enrollment?

Yes. Medicaid Texas - Acute requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Medicaid Texas - Acute cover?

Medicaid Texas - Acute operates in TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Medicaid Texas - Acute offer?

Medicaid Texas - Acute covers dental, medical, and vision.

Can I submit claims to Medicaid Texas - Acute electronically?

Yes. Medicaid Texas - Acute is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).