Skip to main content
Texas Health and Human Services

An official Texas Health and Human Services website.

Here’s how you know.

Dot gov

Official websites use the Texas HHS logo.
The Texas HHS logo means this is an official website of Texas Health and Human Services.

HTTPS

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Vendor Drug Program
    • About the Program
    • Manuals
    • Contact Us
    • News
    • Policy
    • Providers
    • Pharmacy Search
    • Prescriber Search
    • 340B Providers
    • Formulary
    • Formulary Search
    • Provisional Formulary Search
    • Clinician-Administered Drugs
    • Clinical Prior Authorizations for Managed Care
    • Clinical Prior Authorizations for Traditional Medicaid
    • Hepatitis C
    • Preferred Drugs
    • Prior Authorization
    • Respiratory Syncytial Virus Treatment
    • Shortages
    • Specialty Drugs
    • Drug Utilization Review Board
    • DUR Board Annual Disclosures
    • DUR Board Documents
    • DUR Board Members
    • Resources
    • Data Files
    • Documents
    • Forms
    • Managed Care
    • Manuals
    • Manufacturer Resources
    • MCO Search
    • Outreach and Education
    • Portals
    • Reports

Breadcrumb

  1. Home
  2. About
  3. Manuals
  4. Pharmacy Provider Procedure Manual
  5. P-2. Contact Information
  6. Medicare Contacts
  7. Limited Income NET Program
    • Search this manual
    • P-1. Introduction
      • Index
      • Mission
      • Communication
        • Email Notification Service
        • Facsimile Broadcast Service
      • History
      • Outreach and Education
        • Continuing Education Modules
        • Downloadable Outreach and Education Materials
        • Quick Courses
        • TMHP Learning Management System
      • Programs
      • Rule and Statute Information
      • HIPAA Privacy Notice
    • P-2. Contact Information
      • Vendor Drug Program Contacts
        • VDP Clinician-administered Drug Administration Contact
        • VDP Pharmacy Claim Processing Contact
        • VDP Pharmacy Enrollment and Support Contact
        • VDP Prior Authorization Contact
          • Texas Prior Authorization Call Center - Clinical Prior Authorization Contact
          • Texas Prior Authorization Call Center - Non-preferred Prior Authorization Contact
        • VDP Refund Contact
        • VDP Third-party Recovery Contact
      • Managed Care Organization Contacts
        • MCO Client Eligibility Contact
        • MCO Complaint Contact
        • MCO Pharmacy Claim Processing Contact
        • MCO Pharmacy Network Contact
        • MCO Pharmacy Prior Authorization Contact
        • MCO Third-party Recovery Contact
      • Texas Health and Human Services Contacts
        • Fraud, Waste and Abuse Reporting
      • Children with Special Health Care Needs Services Program Contacts
        • CSHCN Services Program Eligibility Verification Contact
        • CSHCN Services Program Pharmacy Claim Processing Contact
        • CSHCN Services Program Prior Authorization Contact
      • Kidney Health Care Program Contacts
        • KHC Program Claim Pharmacy Claim Processing Contact
      • Texas Department of State Health Services Contacts
        • DSHS Immunization Program Contact
      • Texas Medicaid and Healthcare Partnership Contacts
        • TMHP Client Help Line
        • TMHP Provider Enrollment
        • TMHP Resources
      • Medicare Contacts
        • Facilitated Enrollment
        • Limited Income NET Program
      • Centers for Medicare and Medicaid Services Contacts
        • CMS Drug Pricing Contact
        • CMS National Plan and Provider Enumeration System Contact
    • P-3. Enrollment
      • Index
      • Enrollment Process
      • Non-pharmacy Enrollment
        • Comprehensive Care Program Enrollment
        • Durable Medical Equipment Provider Enrollment
      • Operations
        • Delivery Incentive
          • Fee-for-service Delivery Incentive
          • Managed Care Delivery Incentive
        • Direct Deposit
        • High-Volume Fraud Education
        • License Information
        • Maintaining Enrollment
        • Pharmacy Discount Membership Programs
        • Records Retention
        • Revalidation
        • Software Vendor
        • Termination for Inactivity
        • Third-Party Discount Plans
      • 340B Drug Pricing Program Enrollment
    • P-4. Managed Care
      • Managed Care Clinical Prior Authorization
      • Managed Care Complaints
      • Managed Care Formulary Management
      • Managed Care Pharmacy Participation
      • Managed Care Programs
      • Managed Care Search
    • P-5. System Requirements
      • P-5.1. Pharmacy Claims System
      • P-5.2. Switch Companies
      • P-5.3. Claim Format
        • 5.3.1. NCPDP Transactions
          • Claims Billing (B1) Transaction
          • Claims Billing Reversal (B2) Transaction
          • Eligibility Verification (E1) Transaction
        • 5.3.2. NCPDP Transaction Segments
        • 5.3.3. NCPDP Transaction Segment Data Elements
      • P-5.5. Edits
        • Timely Filing Limits
      • P-5.6. E-prescribing
    • P-6. Eligibility
      • Identification Numbers
        • Medicaid
          • Medicaid Copayment Information
          • Medicaid Managed Care Eligibility
          • Medicaid Presumptive Eligibility
          • Temporary Medicaid Eligibility Verification
        • Children with Special Health Care Needs Services Program Eligibility
          • CSHCN Copayment Information
          • CSHCN Identification Form
        • Children’s Health Insurance Program Eligibility
        • Healthy Texas Women Program Eligibility
        • Kidney Health Care Program Eligibility
          • KHC Copayment Information
          • KHC Identification Card
        • STAR Health Eligibility
      • Pharmacy Verification of Eligibility
        • Real-time Eligibility Verification
          • Eligibility Verification (E1) Transaction
        • Your Texas Benefits Medicaid Card
    • P-7. Coordination of Benefits
      • Medicaid Coordination of Benefits
        • Medicaid With Other Insurance
          • Texas Pharmacy Third Party Insurance Call Center
          • Third-party Contact Guidance
        • Medicaid with Medicare
        • Medicaid with Medicare Part B
        • Medicaid with Medicare Part D
          • Opting out of Medicare Part D
          • Extra Help with Medicare Prescription Drug Plan Costs
          • Limited Income NET Program
          • Medicare Facilitated Enrollment
      • CSHCN Services Program Coordination of Benefits
        • CSHCN With Medicaid
        • CSHCN with Medicare Part B
        • CSHCN with Medicare Part D
        • CSHCN with Other Insurance
      • KHC Program Coordination of Benefits
        • KHC with Medicare Part B
        • KHC with Medicare Part D
        • KHC with Other Insurance
    • P-8. Drug Policy
      • Claim Limitations
        • Dollar Limits
        • Prescription Limits
        • Refill Authorization
        • Refill Limitations
        • Refill Too Soon Overrides
        • Refill Utilization
      • Claim Requirements
        • Days Supply
        • Dispense as Written
        • Drug Format
        • Drug Unit of Measure
        • Prescription Splitting
        • Quantity Dispensed
      • Drug Coverage
      • Drug Shortages
      • Epocrates
    • P-9. Formulary Coverage
      • Index
      • Anti-Fungal Products
      • Biosynthetic Growth Hormone Agents
      • Blood Factor Products
      • COVID-19 Oral Antivirals
      • COVID-19 Test Kits
      • COVID-19 Vaccines
      • Compound-only Drugs
      • Cough and Cold Products 
      • Cystic Fibrosis Treatment Agents
      • Diabetic Test Strips
      • Emflaza
      • Enzyme Replacement Therapy Products
      • Erectile Dysfunction Products
      • Family Planning Products
      • Hepatitis C Direct–Acting Antiviral Treatment Products
      • Home Health Supplies
      • Human Immunodeficiency Virus Products
      • Increlex
      • Influenza Vaccines
      • Insulin and Insulin Syringes
      • Kidney Transplant Drugs
      • Long-acting Injectable Products
      • Long-acting Reversible Contraception Products
      • Migraine Medications
      • Mosquito Repellents
      • Opioid Products
      • Over-the-counter Drugs
      • Oxycontin
      • Pediculosis Treatment Products
      • Peritoneal Treatment Products
      • Phosphate Binder Agents
      • Premium Preferred Generic Drugs
      • Prenatal Vitamins
      • Proprotein Convertase Subtilisin/Kexin Type 9 Inhibitor Agents
      • Pulmonary Hypertension Drugs
      • Respiratory Syncytial Virus Treatment
      • Smoking Cessation Products
      • Specialty Drugs
      • Tramadol with Codeine
      • Vitamins and Minerals
      • Weight Management Drugs
      • Xyrem
    • P-10. Drug Utilization Review
      • Index
      • Prospective Drug Utilization Review
        • DUR Alerts
        • DUR Rejections
        • DUR Result of Service
        • OBRA 90 Requirements for Pharmacies
      • Retrospective Drug Utilization Review
      • Texas Drug Utilization Review Board
    • P-11. Prior Authorization
      • Medicaid Prior Authorization
        • Medicaid Clinical Prior Authorization
          • Fee-For-Service Clinical Prior Authorization
          • Optional Managed Care Clinical Prior Authorization
          • Required Managed Care Clinical Prior Authorization
        • Medicaid Non-preferred Prior Authorization
          • Preferred Drug List Process
        • Emergency Override
        • Medicaid Prior Authorization Reconsideration
        • Obtaining Prior Authorization
      • CSHCN Services Program Prior Authorization
        • CSHCN Services Program Prior Authorization Appeal Information
    • P-12. Pricing and Reimbursement
      • Drug Pricing
      • Ingredient Cost and Reimbursement Methodologies
      • Professional Dispensing Fees
    • P-13. 340B Resources
      • Index
      • 340B Participation
      • 340B Contracted Pharmacies
      • 340B Pharmacy Claim Submission
      • 340B Pharmacy Reimbursement
      • 340B Clinician-administered Drug Claim Submission
      • 340B Drug Rebates
      • 340B Responsibilities
    • P-14. Payment
      • Index
      • Payment Cycle
      • Payment Delays
      • Provider Payment Algorithms
        • Basis of Cost Determination
        • Gross Amount Due
        • Submission Clarification Code
        • Usual and Customary
      • Provider Payment Calculation
      • Refunds
    • P-15. Audits
      • Index
      • Audit Process
      • Informal Appeals
    • P-16. Drug Rebates
      • Index
      • Desk Reviews and Disputes
        • Clinician-Administered Drug Claims
        • Pharmacy Claims
    • P-17. Documents
      • Clinical Prior Authorization Documents
      • Enrollment Documents
      • Outreach and Education Documents
      • Preferred Drug Documents
    • P-18. Forms
      • Index
      • Formulary Management Forms
      • Pharmacy Enrollment Forms
      • Pharmacy Operations Forms
        • Pharmacy Claims Billing Request
      • Prior Authorization Reconsideration (Medicaid fee-for-service)
      • Prior Authorization Requests (CSHCN Services Program)
      • Prior Authorization Requests (Medicaid fee-for-service)
      • Program Management Forms

Limited Income NET Program

  • Printer-friendly version

Telephone

800-783-1307

Website

cms.gov/Medicare/Eligibility-and-Enrollment/LowIncSubMedicarePresCov/MedicareLimitedIncomeNET

  • Texas.gov
  • Website Policy
  • Notice of Privacy Practices
  • Accessibility
  • Statewide Search
  • File-Viewing Information
  • Homeland Security
  • Compact with Texans
  • Contact Us
  • Report Fraud, Waste and Abuse

© Copyright 2018-2024. Texas Health & Human Services Commission. All rights reserved.

Back to top