Sample notices of appeal are. found in FORMS (pages 13 and 14). Along with the notice of appeal, you will generally file these additional documents: a. pre-calendar statement, a copy of the order or judgment appealed from, any decisions. the order or judgment is based on, and an affidavit of service.
Accessing the Medicaid Interactive Web Portal. A secure logon to the Medicaid Interactive Web Portal is required to access the new attachment option. For new providers, Medicaid will send a letter containing a personal identification number (PIN) and other information on how providers can access the Portal.
How It Works. 1  Qualified medical and dental providers enroll in Medicaid and indicate on the enrollment form that they will be providing Texas Health Steps services. 2  A nine-character Texas Provider Identifier (TPI) is issued to the provider by the Claims Administrator (Texas Medicaid & Healthcare Partnership). This identifier is very important since it is used when filing claims for reimbursement for providing Texas Health Steps services.