Attention Texas Medicaid Providers!
It is critical to know when your revalidation with TMHP is due. Let us take care of this and all your credentialing needs – contact us today!
The Texas Health and Human Services Commission (HHSC) is requiring assistance from MCOs to enhance provider outreach efforts for Medicaid providers who are experiencing challenges complying with Medicaid provider enrollment revalidation requirements and timelines. Providers who are due for revalidation receive email reminders and automated alerts from TMHP to inform them of their revalidation due date and provide instructions for revalidating. TMHP also conducts targeted outreach to providers through automated and human phone calls. Despite these efforts, many providers are not taking timely action to revalidate their Medicaid enrollment. HHSC is requiring MCO to conduct additional outreach to their providers that are coming up on their revalidation date.
- Any provider who wishes to participate in Texas Medicaid must enroll through the TMHP PEMS system and must revalidate their enrollment periodically. If you don’t complete your revalidation timely, you will not be able to serve Medicaid patients.
- Ensure you have a verified email within the Provider Information tab of your enrollment record to be notified of important information;
- Check your revalidation dates, either through the PEMS dashboard or the Provider Information tab;
- A provider’s revalidation due date is the due date for completing the entire process and getting approved by TMHP. A provider’s revalidation is not complete until their revalidation request is in “closed-enrolled” status. Submitting the revalidation request is the first step of the process.
- Submit the revalidation as soon as this window opens (180 days before the revalidation date);
- Utilize resources to help complete the revalidation process:
- Provider Enrollment and Management System (PEMS) | TMHP TMHP’s Instructional webpage will guide you through the process of revalidating as a provider using TMHP’s Provider Enrollment and Management System (PEMS) tool.
- The Benefits of PEMS – YouTube TMHP’s YouTube channel for PEMS contains entire walk-through demonstrations for revalidation request for groups, facilities, individuals and performing providers
Providers can refer to TMHP’s Provider Enrollment Help webpage Provider Enrollment Help | TMHP or TMHP’s PEMS Instructional Site webpage Provider Enrollment and Management System (PEMS) | TMHP for revalidation or reenrollment support.