Medicaid ID Cards: Confirming Eligibility

As of October 1, 2011, Health and Human Service Center is no longer producing or distributing Form 3087 also known as the paper Medicaid ID.

No longer will people with Medicaid receive the 3087 in their mailbox each month.  No longer will they present the letter-size sheet of paper when they go to a doctor or dentist office, a clinic, or pharmacy for Medicaid services.  The paper Medicaid ID has been replaced by the sturdy, plastic Your Texas Benefits Medicaid card.  With the new card comes a shift in how a person’s Medicaid eligibility is verified.

However, the web does not differentiate between claims that will actually pay on the next provider statement and claims that are stuck in pending status.  A screen print of the search result you may see is attached.

OHV is working to identify the root cause and when the issue is resolved, OHV will pay the claim and interest that might be owed per state regulation.  Please check your email for future updates on this situation.

Medicaid providers should be prepared to verify a person’s Medicaid eligibility with the new card.  The front of the card shows the person’s unique Medicaid ID number.  That same number is embedded in a magnetic strip on the back of the card, accessible with a basic swipe-style card reader.  With the card, providers have a choice of ways to verify the person’s Medicaid eligibility:

 VERIFYING ELIGIBILITY

  • Enter the person’s Medicaid ID number at the new, secure Medicaid eligibility verification website.
  • Visit TexMedConnect on the Texas Medicaid & Healthcare Partnership (TMHP) website.
  • Call the TMHP Contact Center at 1-800-925-9126 or 1-800-925-9126.

If you have any questions please contact Ann Deen at 214-704-1181 or cadeen@tso.com.