Cook Children’s Health Plan will implement the following Texas Medicaid claim submission guideline

Cook Children’s Health Plan will implement the following Texas Medicaid claim submission guideline effective March 20, 2017.

TexMedConnect Frequently Asked Questions (FAQ)

The Patient Discharge Status identifies the location of the individual at the end of the billing cycle. The most common status selected will be 30 Still Patient. This indicates the individual continues to receive services and subsequent claims will be submitted.

There are instances in which 30 Still Patient is not appropriate. For example: Any claim on which you indicate the individual has discharged or a claim which contains the last billable date of a stay (either date prior to discharge or date of death) will not have a Patient Discharge Status of 30 Still Patient.

NOTE: If you have selected Claim Frequency 1 Admit through Discharge Claim or 4 Interim – Last Claim, Patient Discharge Status 30 Still Patient must not be used

More details HERE