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What is a TMHP?

A TMHP job typically refers to a position at Texas Medicaid & Healthcare Partnership (TMHP), which assists with Medicaid provider enrollment, claims processing, and program inquiries in Texas. Employees in these roles may work in customer service, claims adjudication, or provider support to help healthcare providers navigate Medicaid policies. TMHP staff ensure compliance with state regulations and facilitate efficient healthcare reimbursement.

What are the key skills and qualifications needed to thrive in the TMHP position, and why are they important?

To excel as a Texas Medicaid Healthcare Partnership (TMHP) Provider, you must have a thorough knowledge of Medicaid billing, claims processing, and medical coding standards, often supported by certifications such as CPC or Certified Medical Reimbursement Specialist. Familiarity with TMHP portal systems, Medicaid policy manuals, and electronic health record (EHR) software is essential. Strong attention to detail, problem-solving ability, and effective communication help providers coordinate efficiently with healthcare teams and payers. These skills are crucial to ensure accurate claim submissions, regulatory compliance, and timely reimbursement for healthcare services.

What are some common challenges that TMHP providers face in their daily work?

TMHP providers often navigate complex Medicaid regulations, frequent policy updates, and detailed medical documentation requirements, which can create challenges in staying compliant. Managing claim denials or delays and accurately interpreting Medicaid guidelines requires diligence and ongoing education. Collaboration with billing teams and state agencies is essential, as miscommunication can impact reimbursement and patient care continuity. However, strong organizational skills, regular training, and proactive communication can help providers effectively address these challenges and maintain efficient operations.

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Tmhp jobs near you
Infographic showing various Tmhp job openings in the United States as of August 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 74% In-person, and 26% Remote job distribution.

LIDDA Continuity of Care FT

StarCare Specialty Health System

Lubbock, TX • On-site

$20.30/hr

Full-time

Medical, Life, Retirement, PTO

Re-posted 10 days ago

Job description

Description
StarCare Specialty Health System (StarCare) is in search of a well-organized and dynamic professional to join the Local Intellectual and Developmental Disability Authority (LIDDA) as the Continuity of Care (CoC) Service Coordinator. This position completes enrollment processes for Medicaid Waiver Programs, provides Permanency Planning for individuals under the age of 22 residing in Intermediate Care Facilities for Persons with Intellectual Disability or Related Conditions, and serves as the Designated Local Intellectual and Developmental Disability Authority and liaison for people who reside at the Lubbock State Supported Living Center (SSLC).
Responsibilities:
  • Monitors the status of individuals residing in State Supported Living Centers who have transitioned into the community within the past year to ensure needs of the individuals are met.
  • Collaborates and coordinates with Local Intellectual and Developmental Disability Authorities, State Supported Living Centers, State Hospitals, Nursing Facilities, and community provider staff specific to community living transitions, to ensure continuity of services.
  • Completes and submits accurate and timely documentation, including but not limited to:

o Service delivery notes, daily timesheet entries, mileage logs, Intermediate Care Facility (ICF) admissions, Intellectual Disability or Related Conditions (ID/RC) forms, Waiver Enrollments, and Permanency Plans.
  • Adheres to all attendance expectations, following established guidelines to ensure accountability of hours worked each week, maximum productivity, and time management.
  • Performs other duties as assigned.

Schedule: This is a full-time/non-exempt position scheduled Monday - Friday, 8am - 5pm, with flexibility to meet the needs of the department.
Benefit Package: StarCare offers an expansive benefit package including, but not limited to: Company-paid medical coverage, fully funded employer contribution to HSA, company-paid life insurance, company paid hospital indemnity plan, retirement plan with up to 12% employer match, front loaded paid time off (PTO), thirteen (13) paid holidays, sabbatical leave, longevity augmentations, and employee referral augmentations.
Qualifications:
  • Bachelor's degree from an accredited four (4) year college or university is required. Degrees in a human services field such as social work, sociology, psychology, family studies, etc. is preferred.
  • One (1) year of full-time experience working in the field of intellectual & developmental disabilities, preferred.
  • Experience with SmartCare, TMHP, CSIL, SASO, and CARE, preferred.

Skills & Abilities:
  • Knowledge of human service delivery systems.
  • Knowledge of state supported living centers (SSLC).
  • Ability to communicate effectively, both orally and in writing.
  • Ability to organize, prioritize a variety of assignments and manage time effectively.
  • Ability to maintain effective and positive working relationships.
  • Knowledge and skill in operating standard office equipment (personal computer, phone, fax, printer, copier, etc.) and Microsoft Office products.

Additional Requirements:
  • Must pass a pre-hire drug screen and criminal background check.
  • Must have a Texas driver's license, Texas automobile liability insurance coverage, and be insurable under the Agency's insurance.

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