C h a p t e r

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1TMHP and DSHS Contact Information

1.1 TMHP-CSHCN Services Program Contact Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-21.1.1 CSHCN Services Program Telephone and Fax Communication . . . . . . . . . . . . . . . . 1-21.1.2 Written Communication with CSHCN Services Program. . . . . . . . . . . . . . . . . . . . . . . 1-21.1.3 TMHP-CSHCN Services Program Contact Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-31.1.4 TMHP-CSHCN Services Program Automated Inquiry System (AIS) . . . . . . . . . . . . . 1-31.1.5 TMHP Regional Representatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4

1.2 TMHP Website Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-51.2.1 Publications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6

1.2.1.1 Search Capabilities for the CSHCN Services Program Provider Manual . . . 1-61.3 CSHCN Services Program Central and Regional Offices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6

1.3.1 Central Office . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-61.3.2 Regional Offices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7

1.3.2.1 Region 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-71.3.2.2 Region 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-81.3.2.3 Region 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-81.3.2.4 Region 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-91.3.2.5 Region 5 North . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-111.3.2.6 Regions 5 South and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-131.3.2.7 Region 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-141.3.2.8 Region 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-161.3.2.9 Regions 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-171.3.2.10 Region 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

1.4 DSHS Health Service Regions Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-21

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1.1 TMHP-CSHCN Services Program Contact Information

1.1.1 CSHCN Services Program Telephone and Fax Communication

1.1.2 Written Communication with CSHCN Services Program

Contact Telephone and Fax NumberTMHP-CSHCN Prior Authorization and Authorization Fax 1-512-514-4222

Provider Enrollment Fax 1-512-514-4214

Provider Enrollment Phone 1-800-568-2413, Option 2

CSHCN Services Program Customer Service Phone 1-800-252-8023

TMHP Electronic Data Interchange (EDI) Help Desk 1-888-863-3638

TMHP EDI Help Desk Fax 1-512-514-4228

Third-Party Resource (TPR) Phone 1-800-846-7307

TPR Fax 1-512-514-4225

Appeal Submission through AIS Line 1-800-568-2413

CSHCN Services Program Complaints Unit Fax 1-800-441-5133 or1-512-458-7417

Correspondence AddressFirst-Time Claims(Resubmit all “Zero Allowed, Zero Paid” claims. Resubmit claims origi-nally denied as an “Incomplete Claim” on an R&S Report)

Texas Medicaid & Healthcare Partnership Attn: CSHCN Services Program Claims PO Box 200855 Austin, TX 78720-0855

Appeals and Adjustments Texas Medicaid & Healthcare Partnership Attn: CSHCN Services Program Appeals, MC-A11 12357-B Riata Trace Parkway, Suite 150 Austin, TX 78727

Provider Complaints CSHCN Services ProgramATTN: ComplaintsPurchased Health Services Unit, MC-1938Texas Department of State Health ServicesPO Box 149347Austin, TX 78714-9347

Prior Authorization and Authorization

Texas Medicaid & Healthcare Partnership Attn: TMHP-CSHCN Services Program Authorizations Department, MC-A11 12357-B Riata Trace Parkway, Suite 150 Austin, TX 78727

Enrollment Texas Medicaid & Healthcare Partnership Attn: Provider Enrollment PO Box 200795 Austin, TX 78720-0795

Third-Party Resource Texas Medicaid & Healthcare Partnership Third-Party Resource Unit PO Box 202948 Austin, TX 78720-9981

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1.1.3 TMHP-CSHCN Services Program Contact CenterThe TMHP-CSHCN Services Program Contact Center at 1-800-568-2413 is available Monday through Friday from 7 a.m. to 7 p.m., Central Time, and is the main point of contact for the CSHCN Services Program provider community.

1.1.4 TMHP-CSHCN Services Program Automated Inquiry System (AIS)Dial 1-800-568-2413 (toll-free) to access the TMHP-CSHCN Services Program AIS. The call is answered automatically. Providers should follow the directions to access AIS and use the automated features to obtain information and services. The TMHP-CSHCN Services Program AIS provides the following information and services through the use of a touch-tone telephone: claim status, client eligibility, current weekly payment amount, faxed forms, and claim appeals.The TMHP-CSHCN Services Program AIS eligibility and claim status information is available 23 hours a day, 7 days a week with scheduled down time between 3 a.m. and 4 a.m., Central Time. All other AIS information is available Monday through Friday from 7 a.m. until 7 p.m., Central Time. AIS offers 15 transactions per call.Note: Pressing Star then Pound (*#) repeats any information given. Pressing Star then Star (**) begins again if an error was made. Pressing Zero then Pound (0#) at any time repeats the main menu.Full instructions on the use and benefits of the TMHP-CSHCN Services Program AIS can be found in the CSHCN Services Program Automated Inquiry System (AIS) Users Guide available on the TMHP website at www.tmhp.com/CSHCN/default.aspx (under CSHCN Resources section) or www.tmhp.com/File%20Library/default.aspx, or by calling the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413, Monday through Friday from 7 a.m. to 7 p.m., Central Time.Note: All users who access www.tmhp.com are required to accept the American Medical Association (AMA) End-user Agreement on the use of Current Procedural Terminology (CPT). For each computer that accesses the TMHP website, the agreement must be accepted every 30 days from the last date on which the agreement was accepted by the user. If the end-user agreement is not accepted on a particular computer every 30 days, no user will be able to enter the website from that computer. For additional information about the AMA and CPT, refer to www.ama-assn.org/ama/pub/category/3113.html.

Electronic Claims and Rejected Reports(Past the 95-day filing deadline)

Texas Medicaid & Healthcare Partnership PO Box 200645 Austin, TX 78720-0645

Other Correspondence(Must be directed to a specific department or individual)

Texas Medicaid & Healthcare Partnership Attn: CSHCN Services Program Appeals, MC-A11 12357-B Riata Trace Parkway, Suite 150 Austin, TX 78727

Correspondence Address

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1.1.5 TMHP Regional RepresentativesThe TMHP Provider Relations Department comprises a staff of Austin-based and field-based provider relations representatives who serve the health-care community by furnishing a variety of services and activities designed to inform and educate health-care providers about the CSHCN Services Program policies and claims filing procedures. Provider Relations activities include the following:• Provider education through planned events.

Provider representatives conduct a planned program of educational workshops, webinars, computer-based training (CBT), in-services, and training sessions designed to keep all actively-enrolled providers informed of the latest policies, claim processing procedures, and federal and state regulations affecting CSHCN Services Program.

• Problem identification and resolution. A staff of research coordinators is available to assist providers with clarification of Medicaid policies and assist with in-depth problem claim submission issues after initial inquiries are made with the CSHCN Contact Center. Coordinators work closely with field-based regional representatives to coordinate the educational needs of the community.

• Relationship with professional health-care organizations. To ensure that Texas associations that represent health-care professions have up-to-date information about the requirements for participation in the CSHCN Services Program, the Provider Relations Department maintains a working relationship with these organizations. Also, the Provider Relations Department partici-pates in several events sponsored by Texas health-care associations, such as conventions and conferences.

Technical support and training are also provided for TexMedConnect software users. The table below indicates the TMHP provider relations representatives and the areas they serve. Additional information, including a regional listing by county and workshop information, is available on the TMHP website at www.tmhp.com/Providers/default.aspx. Providers can click on the TMHP Provider Services Representatives link listed under Provider Resources on the TMHP website.

Territory Regional AreaProvider Representative

Telephone Number

1 Amarillo, Childress, and Lubbock Stephanie Hill 1-512-506-6217

2 Midland, Odessa, and San Angelo Mindy Wiggins 1-512-506-3423

3 Alpine, El Paso, and Van Horn Alma Gonzales 1-512-506-3530

4 Del Rio, Eagle Pass, and Laredo Christina Salinas 1-512-506-7271

5 Brownsville, Harlingen, and McAllen

Cynthia Gonzales 1-512-506-7991

6 Abilene, Brownwood, and Wichita Falls

Cynthia Rowlett 1-512-506-7095

7 Brady, North Austin,* Round Rock, and Waco

Rhonda Williams 1-512-506-7600

8 Bastrop, Buda, Guadalupe, San Marcos, and South Austin*

Kimberly Gauquier 1-512-506-3526

9 Kerrville and San Antonio* Kathe Barrett 1-512-506-3422

10 Corpus Christi, San Antonio,* and Victoria*

Alan Brown 1-512-506-3554

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1.2 TMHP Website InformationThe TMHP website at www.tmhp.com is a valuable resource that provides:• Information and registration for upcoming provider education and training sessions.• A file library of publications, such as bulletins, banner messages, and provider manuals.• Announcements of current and upcoming program changes and other important information.Additional advanced features are available for providers that create an account. There is no charge for creating an account on the TMHP website. All enrolled providers are eligible for this service. Once an account has been created, providers have access to:• Texas Medicaid and the CSHCN Services Program enrollment information.• Claim Status Inquiry (CSI).• Eligibility verification (EV).• Electronic Remittance and Status (ER&S) Report download option.• Complete instructions for setting up a Provider Administrator account and the use of online CSI,

EV, and ER&S Reports.• E-mail the TMHP-CSHCN Services Program Contact Center.• Workshop registration.• Claim submission.• Claim appeals.• View the new provider welcome.New services continue to be added to the website. Visit the TMHP website at www.tmhp.com or call the Electronic Data Interchange (EDI) Help Desk at 1-888-863-3638 for the latest information about online services.Refer to: The TMHP website at www.tmhp.com for further details and instructions on how to

submit claims on the website.

11 Cleburne, Denton, Fort Worth, and Grayson

Vacant at time of printing 1-512-506-7990

12 Corsicana, Dallas,* and Groesbeck Sandra Peterson 1-512-506-3552

13 Dallas,* Paris, and Whitesboro Justin Raymond 1-512-506-3578

14 Texarkana and Tyler Trilby Foster 1-512-506-7053

15 Beaumont and Lufkin Gene Allred 1-512-506-3425

16 Bryan/College Station, Conroe, and Houston*

Linda Wood 1-512-506-7682

17 Houston* and Ft. Bend Stephen Hirschfelder 1-512-506-3447

18 Chambers, Brazoria, Galveston, Houston,* Matagorda, Wharton

Michael Duffee 1-512-506-3586

Out-of-State Provider Representative Joann Kunde 1-512-506-7858*Austin, Dallas, Houston, and San Antonio territories are shared by two or more provider representatives. These territories are divided by ZIP Codes. Refer to the TMHP website at www.tmhp.com for the most current information and assigned representative to contact in each ZIP Code.

Territory Regional AreaProvider Representative

Telephone Number

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1.2.1 PublicationsAll providers have access to the publications available on the TMHP website, including:• Banner messages—a weekly history of banner messages.• Bulletins—the CSHCN Services Program Provider Bulletin, the Long Term Care Provider Bulletin, and

the Texas Medicaid Bulletin.• CSHCN Services Program Newsletter for Families.• EDI reference and connectivity guides.• Fee schedules.• Provider manuals.These publications are available in the TMHP File Library. Use the following steps to access the TMHP File Library:1) Access the homepage of the TMHP website at www.tmhp.com.2) Click on the “Providers” tab at the top of the homepage. Click on “CSHCN” on the tabs at the

top of the provider homepage.

3) Click on “Reference Material” on the left-hand side navigation bar to access provider manuals, bulletins, and other important reference materials.

1.2.1.1 Search Capabilities for the CSHCN Services Program Provider ManualThe online version of the CSHCN Services Program Provider Manual is available in portable document format (PDF), which can be viewed in Adobe® Acrobat® or Reader®. The Bookmarks window located on the left side of the screen provides a link to each heading within the manual. Click on the heading or link to quickly access the topic of interest.Providers can use the following instructions to search the online version of the manual by a keyword or phrase:1) Click the Search icon (binoculars) in the toolbar located at the top of the page. The Acrobat

Find window opens.2) In the Find What window, enter a keyword or phrase. Choose one of the following options, if

applicable to the search:

• Whole word only• Case-Sensitive• Include Bookmarks• Include Comments

3) Click Search. The cursor moves to the first place within the manual where the word or phrase appears. Instances found are listed in the Results window.

4) To search for a different keyword or term, click the New Search icon and type in the keyword or term and click Search.

1.3 CSHCN Services Program Central and Regional Offices

1.3.1 Central OfficeThe central and regional offices of the CSHCN Services Program are administratively located within the Division for Family & Community Health Services, Specialized Health Services Section, Purchased Health Services Unit (PHSU), at the Department of State Health Services (DSHS). Regular office hours are Monday through Friday from 8 a.m. to 5 p.m., Central Time.TMHP is the claims administrator, and questions concerning provider enrollment, benefits or coverage, claims processing, and authorizations or prior authorizations should be directed to TMHP. DSHS-CSHCN Services Program welcomes provider comments and suggestions.

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Providers can contact the CSHCN Services Program using the following information:• Telephone toll-free at 1-800-252-8023 (may be used only in Texas) or the Austin local number at

1-512-458-7355• Fax to CSHCN Services Program toll-free at 1-800-441-5133 or the Austin local number at 1-512-

458-7565• Send e-mail to cshcn@dshs.state.tx.usMail to the following address:

CSHCN Services Program—Provider EnrollmentPurchased Health Services Unit, MC-1938

Texas Department of State Health ServicesPO Box 149347

Austin, TX 78714–9347Fax: 1-800-441-5133

Deliveries and overnight mail to the following address:CSHCN Services Program—Provider Enrollment

Purchased Health Services Unit, MC-1938Texas Department of State Health Services

1100 West 49th StreetAustin, TX 78756–3179

Fax: 1-800-441-5133

Additional information about the CSHCN Services Program is available online at www.dshs.state.tx.us/cshcn.

1.3.2 Regional OfficesCase management and client eligibility services are provided by a statewide network of regionally-based social service program consultants and include the following activities:• Coordination of medical services• Linkage to available resources• Acting as a liaison among the client, family, and caregivers• Management of institutional services, insurance carriers, and other services required for the

improved well-being of the client and familyRefer to: Appendix A, “Acronyms and Initialisms Dictionary” on page A-1 for definitions of the

abbreviated academic degrees listed in the following tables.

1.3.2.1 Region 1

1C - Canyon Regional Sub-Office (Canyon)Health Services Region 1 PO Box 60968 WTAMU Canyon, TX 79016Telephone: 1-806-655-7151, Ext. 1109Fax: 1-806-655-0820

Manager of Specialized Health & Social Work Services:

Pat Greenwood, LMSW-IPRTeam Leader of Social Work Services:

Suzy Klein, BA, LMSWMedical Case Managers:

Becky Brock, LBSWJana Campbell, LBSW

Eligibility and Support: Juanita DiazKathie Robinson

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1.3.2.2 Region 2

1.3.2.3 Region 3

1L - Lubbock Regional OfficeHealth Services Region 1 6302 Iola Ave. Lubbock, TX 79424–2721Telephone: 1-806-783-6452Fax: 1-806-783-6455

Team Leader of Social Work Services:Judy Lara, BSSW, LBSW

Medical Case Managers:Beatrice Ramos, LBSWIrene Bourdon, LBSWRebecca Williams, BA, LBSWShannon Fitzpatrick, LBSWSteffanie Dayton, LBSW

Eligibility and Support: Eva Tagle-Coronado

2A - Abilene OfficeHealth Services Region 2 4601 South First Street, Suite L Abilene, TX 79605–1466Telephone: 1-325-795-5869 or 1-325-795-5868Fax: 1-325-795-5853

Medical Case Managers:Brenda Bishop, LMSWChristy Freeman, LBSW

Eligibility and Support: Vacant at time of printing

2WF-Wichita Falls OfficeHealth Services Region 2 PO Box 300 (mailing address) Wichita Falls, TX 76307–0300Telephone: 1-940-689-5930Fax: 1-940-689-5925

Medical Case Manager: Judy Keddy, LBSW

Eligibility and Support: Anita Lancaster, LBSW

3 - Regional Office (Arlington)Health Service Regions 3 1301 South Bowen Road, Suite 200 Arlington, TX 76013–2262Telephone: 1-817-264-4624Fax: 1-817-264-4911

Manager of Specialized Health & Social Work Services:

Crystal Womack, LMSW-APCase Management Consultants:

Carol Sorich, LCSWMedical Case Managers:

Florence Olugbuyi, LBSWGerry Foster, LMSWMargie Moulton, LBSWPatricia McGee, LBSWSonya Cameron, LBSWSusan Wright, LCSWTahirah Samuels, LBSWTom Sanders, LBSW

Eligibility and Support:Aurelia (Ali) HernandezDiondra Williams

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1.3.2.4 Region 4

Bonham OfficePO Box 605 (mailing address) 1205-A East Sam Rayburn (physical address) Bonham, TX 75418Telephone: 1-903-583-5535Fax: 1-903-583-4486

Medical Case Manager:Bill Barber, LMSW

Granbury Office214 North Travis Street Granbury, TX 79048Telephone: 1-817-578-2391Fax: 1-817-578-3310

Medical Case Manager:Barbara Dubey, LBSW

Denton Office3612 East McKinney Denton, TX 76209Telephone: 1-940-591-6215 or 1-888-456-2770, Ext. 287Fax: 1-940-591-6254

Medical Case Managers:Peggy White, LMSW

Mockingbird Office1545 Mockingbird Lane, Suite 3001 Dallas, TX 75235Telephone: 1-214-819-6760Fax: 1-214-819-6796

Medical Case Managers:Angela Prince, LBSWGerry Choice, LMSWJan Bellman, LCSWLori Bedford, LMSW

Rockwall Office102 South First Street, Suite A Rockwall, TX 75087Telephone: 1-972-772-6180Fax: 1-972-771-3080

Medical Case Managers:Debbie Renfrow, LBSW

4/5N - Regional Office (Tyler)Health Service Region 4/5N 1517 West Front Street Tyler, TX 75702–7822Telephone: 1-903-533-5269Toll free: 1-877-340-8842Fax: 1-903-535-7593

Manager of Specialized Health & Social Work Services:

Peggy Wooten, LCSW, ACSWAssistant Managers of Specialized Health & Social Work Services:

Caleb Rackley, LMSWLori Kelley, LBSW, MSSWRegina Crain, LBSW, MSW

Medical Case Managers:James Frazier, LBSWMilinda Mezayek, LBSW

Eligibility and Support:Beth WilsonCynthia JonesDebbie CorreaShirley Mayfield

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Athens Office708 East Corsicana Athens, TX 75751Telephone: 1-903-675-9107Fax: 1-903-675-3622

Medical Case Manager:Kimberly Waites, LBSW

Carthage Office1430 South Adams Carthage, TX 75633Telephone: 1-903-693-9322 or 1-800-306-0568Fax: 1-903-694-2316

Medical Case Manager:Sherry Lynn Adams, LBSW

Gilmer Office324 Yapaco Gilmer, TX 75644Telephone: 1-903-843-3030Fax: 1-903-843-4264

Medical Case Manager:Rhonda Randall, LBSW

Henderson Office700 Zeid Blvd. Henderson, TX 75652Telephone: 1-903-655-6256 or 1-800-306-0568Fax: 1-903-655-0104

Medical Case Manager:Sherry Lynn Adams, LBSW

Linden Office123 Kaufman (physical location) PO Box 300 (mailing address) Linden, TX 75563Telephone: 1-903-756-7231 or 1-866-268-6465Fax: 1-903-756-5146

Medical Case Manager:Vacant at time of printing

Longview Office1750 North Eastman Road Longview, TX 75601–3347Telephone: 1-903-232-3222 or 1-903-232-3289Toll Free: 1-866-327-1364Fax: 1-903-232-3278

Medical Case Managers:Marynell Elgin, LBSW-IPRTungua Mayfield, LBSW, MSW

Marshall Office4105 Victory Drive Marshall, TX 75670Telephone: 1-903-938-6743 or 1-903-927-0218Toll Free: 1-866-327-1364Fax: 1-903-927-0290

Medical Case Manager:Tungua Mayfield, LBSW

Mount Pleasant Office1014 North Jefferson Mount Pleasant, TX 75455Telephone: 1-903-577-1929 or 1-866-268-6465Fax: 1-903-577-8957

Medical Case Managers:Ginger Jones, LMSWLori Kelley, LBSW, MSSW

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1.3.2.5 Region 5 North

New Boston Office912 S. Merrill Street New Boston, TX 75570Telephone: 1-903-628-5513, Ext. 231 or 1-903-312-5776Fax: 1-903-628-2695

Medical Case Manager:Nicole Weakley, LBSW

Palestine Office100 West Brazos Palestine, TX 75801Telephone: 1-903-729-6164Fax: 1-903-729-7034

Medical Case Manager:Marla Phillips, LBSW

Paris Office1460 19th Street NW Paris, TX 75460Telephone: 1-903-737-0236Fax: 1-903-737-0220

Medical Case Manager:Misty D. Ray, LMSW

Quitman OfficePO Box 1704 (mailing address) 213 West Bermuda (physical location) Quitman, TX 75783Telephone: 1-903-763-1238Toll free: 1-866-518-0601Fax: 1-903-763-5407

Medical Case Manager:Michelle Vititow, LBSW

Sulphur Springs Office1400 College, Suite 167 Sulphur Springs, TX 75482Telephone: 1-903-439-9331Fax: 1-903-439-9335

Medical Case Manager:Michelle Vititow, LBSW

Texarkana Office3115 South Lake Drive, Suite 120 Texarkana, TX 75501Telephone: 1-903-791-3229Fax: 1-903-791-3230

Medical Case Manager:Tangela Oliver, LBSW

Center Office420 Tenaha Street Center, TX 75935Telephone: 1-936-591-0525, Ext. 2242Fax: 1-936-591-0162

Medical Case Manager/Provider Relations:Sandra Garrett, LBSW

Crockett Office1034 South Fourth Street Crockett, TX 75835Telephone: 1-936-544-4734Fax: 1-936-544-0280

Medical Case Manager:Mable Thompson, LBSW

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Jasper OfficeJasper-Newton County Public Health District 130 West Lamar Jasper, TX 75951Telephone: 1-409-384-6829, Ext. 231Fax: 1-409-384-7861

Medical Case Manager:Julie Prewitt, LBSW

Client SupportBetty Osburn

Kirbyville Office314 North Herndon (physical location) PO Box 900 (mailing address) Kirbyville, TX 75956Telephone: 1-409-423-4612, Ext. 238Fax: 1-409-423-4027

Medical Case Manager:Fleta Youngblood, LBSW (CSHCN Contract)

Livingston Office410 East Church Street, Suite B Livingston, TX 77351Telephone: 1-936-328-8240, Ext. 232Toll Free: 1-888-851-4748Fax: 1-936-328-8249

Medical Case Managers:Mona West, LBSW

Lufkin Office1210 South Chestnut Lufkin, TX 75901Telephone: 1-936-633-3657Fax: 1-936-633-3667

Medical Case Manager:Ivonne Perez, LBSW

Nacogdoches Office2614 N.W. Stallings Drive Nacogdoches, TX 75964Telephone: 1-936-569-4982Fax: 1-936-569-4989

Medical Case Manager:Kelly Madkins, LBSWRegina Crain, LBSW

Woodville Office201 Willow Street, Ste. 200 Woodville, TX 75979Telephone: 1-409-283-2735Fax: 1-409-283-6071

Medical Case Manager:Mona West, LBSW

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1.3.2.6 Regions 5 South and 6

6/5S - Regional Office (Houston)Health Service Region 6 5425 Polk Avenue, Suite J Houston, TX 77023–1497Telephone: 1-713-767-3111Fax: 1-713-767-3125

Manager of Specialized Health & Social Work Services:

Raymond Turner, MA, LMSW-APMedical Case Managers:

Antoine Fleming, LBSWAntoinette Webb, LMSW-APBarbara Tarver, LMSWCarolyn Doucette, LBSWCatherine Kasavi-Atatah, LBSWChiquita Davis, LBSWCherie Adams, LMSWDonovan Spears, LBSWDoris Vasquez, LBSWElla Jackson, LBSWEsther Ogunjimi, LMSWHazel Piggee, LBSWHeather Norcross, LBSWJack Griffin, LMSWKaren McDaniel, LMSWKatherine Spencer, MA, LBSWKeisha Delasbour, LMSWKimberly Vargas, LBSWMelvyn Batise, LBSWPatrick Walker, LBSWPauline Elder, LBSWRhonda Wyatt, LBSWRoxanna DeLa Garza, LBSWShandra Williams, LBSWSing Chan, LMSWShannon Thurmond, LCSWSheryl Turner, LBSWTerry Wyche, LBSWWashaun Simpson, LMSW

Eligibility and Support:Beatriz MorenoDenise RiosIliana MolinaJosie CastroTeresa Figures-WardVeronica Aguilera

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1.3.2.7 Region 7

Beaumont Office285 Liberty Street Beaumont, TX 77701Telephone: 1-409-951-3091Fax: 1-409-951-3029

Medical Case Manager:Latineya Henderson, LMSW

Conroe Office608 North Drive Loop 336 East Conroe, TX 77301Telephone: 1-936-760-4704Fax: 1-936-760-4704

Medical Case Manager:Cathie Richardson, LCSW, ACSW

7T - Temple OfficeHealth Service Region 7 2408 South 37th Street Temple, TX 76504–1768Telephone: 1-800-789-2865Fax: 1-254-773-2722

Manager of Specialized Health & Social Work Services:

Eileen Walker, MS, LBSWSupervisors:

Kimberly Langely, LBSWSuzan Cooper, LBSW

Medical Case Managers:Donna Benton, LBSW

Provider Relations:Alice WatkinsMarjorie Douglas

Eligibility and Support: Alex FloresConcepcion RiveraMarina HernandezOlivia HaislerRaquel Howard

7A - Austin OfficeHealth Services Region 7 1601 Rutherford Lane, Suite C-3 Austin, TX 78754–5119Telephone: 1-512-873-6311, 1-512-873-6315, 1-512-873-6308, or 1-800-789-2865Fax: 1-512-873-6334

Medical Case Managers:Leesa Ferrero, LMSWPamela Caulder-Fine, LBSW

Eligibility and Support: David SanchezMaggie Chavez

Bastrop Office104 Loop 150 West, Suite 102 Bastrop, Texas 78602Telephone: 1-512-321-2465Fax: 1-512-321-4861

Medical Case Manager:Sylvia Lopez, LBSW

Bryan Office2408 S. 37th Street Temple, TX 76504Telephone: 1-800-789-2865State Cell Phone: 1-254-624-7892Fax: 1-254-773-2722

Provider Relations:Peggy Kay, LCSW

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Georgetown Office2408 South 37th Street Temple, TX 76504Telephone: 1-800-789-2865State Cell Phone: 1-512-789-2156Fax: 1-254-773-2722

Provider Relations:Deneice Pryor, RN

Hearne Office809 West Davis #9 PO Box 947 Hearne, TX 77859Telephone: 1-979-279-9281Fax: 1-979-9288

Medical Case Manager:Carol Davis-Rios, LCSW

Lockhart Office1403F Blackjack Street (physical location) PO Box 43 (mailing address) Lockhart, TX 78744Telephone: 1-512-398-3161Fax: 1-512-398-9726

Medical Case Manager:David Ross, LCSW

Navasota Office202 S. Judson Street (physical address) PO Box 1287 (mailing address) Navasota, TX 77868Telephone: 1-936-825-7586Fax: 1-936-825-0380

Medical Case Manager:Bettye Bullock, LBSW

San Saba Office423 E. Wallace San Saba, TX 76877Telephone: 1-254-757-0679Fax: 1-254-753-0879

Medical Case Manager:Danna Smith, LMSW

Waco Office801 Austin Avenue, Suite 820F Waco, TX 76701Telephone: 1-254-750-9237, 1-254-750-9339, 1-254-750-9337, or 1-254-750-9353Fax: 1-254-750-9372

Medical Case Managers:Dixie Skeen, LBSWJan Lamar, LBSWTonya Tucker, LBSW

Provider Relations:Lilli Lessenger, LBSW

CPT only copyright 2010 American Medical Association. All rights reserved. 1–15

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Chapter 1

1.3.2.8 Region 8

8 - San Antonio OfficeHealth Service Region 8 7430 Louis Pasteur Drive San Antonio, TX 78229–4507Telephone: 1-210-949-2155Fax: 1-210-949-2047

Manager of Specialized Health & Social Work Services:

Sylvia Carrizales, LBSWSupervisor of Social Work Services:

Janice Gonzales, LBSW-IPRTeam Leader of Social Work Services:

Vacant at time of printingMedical Case Managers:

Diane Rodriguez, LMSWJacqueline Mercado, LMSWIrma Sosa, LBSWIsabel Beltran, LBSWJudy Lambaria, LBSWKristen Gutierrez, LBSWKristy Wurn, LBSW-IPRLeticia Guerra, LBSWLorna Felan, LBSWRoxann Ortiz-Vigil, LBSWShelley Braun, LMSW

Eligibility and Support Staff:D’Angela HarderDiane HerreraVeronica Vasquez

Del Rio Office1401 Las Vacas Del Rio, TX 78840Telephone: 1-830-768-2800Fax: 1-830-774-6380

Medical Case Manager:Sharlene Perez, LBSW, MEd

Eagle Pass Office1593 Veterans Boulevard Eagle Pass, TX 78852Telephone: 1-830-773-2716, Ext. 13Fax: 1-830-773-4688

Medical Case Managers:Linda Ruiz, LBSWMarisa Hernandez, BSW

Support Staff:Vacant at time of printing

Victoria Office1502 East Airline, No. 39 Victoria, TX 77901Telephone: 1-830-591-4379Fax: 1-830-278-7170

Medical Case Manager:Linda Salazar-Ybarro, LBSW

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1.3.2.9 Regions 9 and 10

9/10 - El Paso OfficeHealth Services Region 9/10 401 East Franklin, Suite 210 El Paso, TX 79901-1206Telephone: 1-915-834-7682Fax: 1-915-834-7804

Manager of Specialized Health & Social Work Services:

Donna CordoniSupervisor of Social Work Services:

Yvette Friday, LMSWMedical Case Managers:

Armando Rodriguez, LBSWBeatriz (Bea) Eger, LBSWBrenda Rubio-Soto, LBSWMargarita Jaquez, MSW, LBSWPedro (Pete) Adame, LBSWRaquel Garcia-Gonzalez, LBSW

Eligibility and Support:Beatriz (Bea) LeyvaClaudia A. DiazMary Ann VillalobosRosa HernandezSandra Herrera

Midland Office 2301 N Big Spring Street, Suite 300 Midland, TX 79705Telephone: 1-432-571-4159Fax: 1-432-684-3932

Social Work Services Coordinator: Joanne Mundy, LBSW

Social Work Services Team Lead:Beatrix Ho Guin, LBSW

Medical Case Managers: Marivelle Baumgarten, LBSWSuzanne Bingham, LBSW

Support Staff:Consuelo Lujan

San Angelo Office622 South Oakes, Suite H San Angelo, TX 76903Telephone: 1-325-659-7853Fax: 1-325-655-6798

Medical Case Manager:Vacant at time of printing

CPT only copyright 2010 American Medical Association. All rights reserved. 1–17

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Chapter 1

1.3.2.10 Region 11

11H - Harlingen OfficeHealth Service Region 11 601 West Sesame Drive Harlingen, TX 78550–4040Telephone: 1-956-444-3231Fax: 1-956-444-3293

Manager of Specialized Health & Social Work Services:

Vacant at time of printingUnit Supervisor is main contact:Diana Barajas, LBSW

Medical Case Managers:Julia Liebscher, LCSWLinda Torres, LBSWMartha Rodriguez, LBSWRosalie Cavazos, LBSWSandra Ferrer, LBSWSofia Zamora, MSSW, LMSW

Eligibility and Support:Elvira QuezadaLeticia PuenteNorma Villanueva

Alice Offices408 N. Flournoy, Suite C Alice, TX 78332Telephone: 1-361-664-2019Fax: 1-361-668-4000

Medical Case Managers:Hector E Gonzales, LBSWJuan A. Sanchez, LBSW

Eligibility and Support:Rosie Tagle

11C - Corpus Christi OfficeHealth Services Region 11 1233 Agnes Street Corpus Christi, TX 78401–3226Telephone: 1-361-888-7837Fax: 1-361-883-9942

Case Management Consultant (Coastal Bend):

Imelda Salinas-Garcia, LMSW-APMedical Case Managers:

Ambar L. Bautista, LBSWMary Gaytan, LBSWNora Garcia, LBSWRebecca Soto, LMSW

Eligibility and Support:Becky Thomas

11L - Laredo Office1500 Arkansas Avenue, Suite 3 Laredo, TX 78043–3049Telephone: 1-956-725-5195Fax: 1-956-729-8600

Unit Supervisor:Jesus Eddie Sanchez, LBSW-IPR

Medical Case Managers:Cristina de Bosquez, LBSWDenise Torres, LBSWFernando Torres, LBSWJuan Ortiz, LBSWMagdalena Solano, LBSWMa. Magdalena Farias, LBSWMichelle Trisler-Rodriguez, LBSWSusana Berrones, LBSW

Eligibility and Support:Connie GarciaDiana S. Cisneros

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11M - McAllen OfficeHealth Services Region 11 4501 West Business Hwy 83 McAllen, TX 78501–9907Telephone: 1-956-971-1207Fax: 1-956-971-1275

Unit Supervisor:Alberto Ramos, Jr., LBSW

Medical Case Managers:Anna Barrera, LBSWBlanca Rivera, LBSWEdward Pumarejo, LBSWElizabeth Lopez, LBSWGregoria Lopez, LBSWManuel Garza, LBSWMaria Lydia Ortiz, LBSWMaria E. De Luna, LMSWMartha Partida, LBSWMonica S. Garza, LBSWNayeli Hack, LBSWNereida Mercado, LBSWRebeca Martinez, LBSWTeresa Garcia, LBSW

Eligibility and Support: Eva SoranoYolanda Segovia

Mercedes OfficeHealth Services Region 11 202 West 2nd Street Mercedes, TX 78570Telephone: 1-956-825-5300Fax: 1-956-825-5320

Unit Supervisor:Michael Garcia, LBSW-IPR

Medical Case ManagersDeyanira Romero, LBSWElda Montoya, LBSWGloria Rodriguez, LBSWIrene Garcia, LMSWKari Ann Fuentes, LBSWNorma L. Longoria, LBSWSandra Mata, LBSWSusana GonzalesTeresa Garcia, LBSW

Eligibility and SupportSophia Gonzales

Brownsville Office1000 Price Road Brownsville, TX 78521Telephone: 1-956-554-5500Fax: 1-956-554-5581

Medical Case ManagersAngelica Martinez, LBSWCynthia L. Hernandez, LBSWGregorio Reyes, IV, LBSWMaria Torres, LMSWMichelle Gonzalez, LBSW

Eligibility and Support:Norma Villanueva

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Chapter 1

Rio Grande City Office400 W. Eisenhower Street Rio Grande City, TX 78582Telephone: 1-956-487-2537Fax: 1-956-716-6297

Medical Case ManagersBeatrice Solis, LBSWDaisy Elizondo, LBSW

CPT only copyright 2010 American Medical Association. All rights reserved.

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1.4 DSHS Health Service Regions Map

Tyler

Temple

El Paso

Houston

Lubbock

Harlingen

Arlington

San Antonio

1

8

7

9/10

2/3

11

4/5N

6/5S

CPT only copyright 2010 American Medical Association. All rights reserved. 1–21