Medicaid Administrative Claiming (MAC)
(ECI, MH/IDD, LHD, and ISD Programs)
Participation in the Medicaid Administrative Claiming (MAC) program requires an executed contract between HHSC and the entity and an approved MAC Program Operating Plan. The actions below provide more detail on the contract documents and the Program Operating Plan requirements.
The entity submits the completed and signed contract packet to the HHSC Medicaid/CHIP Division (MCD) Contract Compliance and Support unit at the following e-mail address:
- Intergovernmental Cooperation Agreement
Print and review the appropriate Intergovernmental Cooperation Agreement for your specific entity. The instructions are included in the agreement. The links to the agreements are provided below.
- MAC Intergovernmental Cooperation Agreement (ECI) (.pdf)
- MAC Intergovernmental Cooperation Agreement (MH/IDD) (.pdf)
- MAC Intergovernmental Cooperation Agreement (LHD) (.pdf)
- MAC Intergovernmental Cooperation Agreement (ISD) (.pdf)
- Universal Contract Terms and Conditions (.pdf)
- Data Use Agreement
Print and review the Data Use Agreement. View the Instructions for completing the agreement.
Application for Texas Identification Number (.pdf)
A Texas Identification Number (TIN) is a number assigned by the Texas Comptroller of Public Accounts for the purpose of identifying any party receiving a payment from the State of Texas. The use of this number on all billings will reduce the time required to process billings to the State of Texas.
Print, review, and complete the Application for Texas Identification Number. The instructions for completing the document are included with the document.
Vendor Direct Deposit Form (.pdf)
Print and complete the Vendor Direct Deposit Form. The form must be resubmitted if the entity changes financial institution, accounts, and/or account type. Instructions for completing the form are included with the document.
Vendor Information Form (.pdf)
Print and complete the Vendor Information Form. View the Vendor Information Form Instructions (.pdf).
- Program Operating Plan (for ISDs only):
An approved MAC Program Operating Plan (POP) is required for Independent School Districts (ISDs) choosing to participate and receive reimbursement from the MAC program. In addition to submitting the MAC POP, the ISD is required to update and maintain all contact information in the State of Texas Automated Information Reporting System (STAIRS). Once a MAC POP has been approved, the ISD is required to update STAIRS should program contacts change.
View the MAC POP with Instructions (.pdf).
Review the instructions. Draft a cover letter and complete the POP as indicated. Send the completed and signed cover letter and MAC POP to the HHSC Rate Analysis Department at the following e-mail address:
NOTE: You may send questions regarding the cover letter, POP, or other MAC non-contract related questions to the HHSC Rate Analysis Department email listed below.
The contract packet includes items 1-5 listed below. (Item 6 is to be completed by ISDs only.) You may direct any questions regarding documents 1-5 to MCD Contract Compliance and Support at:
Contact Rate Analysis MAC
Send email to Rate Analysis
Updated: October 25, 2016