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Welcome Texas Medicaid Providers. The Texas Medicaid & Healthcare Partnership provides the resources to help providers succeed with their Medicaid practice. My Account
Client Eligibility Lookup. For current eligibility status, please enter 2 of the following 4 data elements for the Client: Patient Control Number. Date of Birth. Social Security Number. Last Name. First Name is an optional field. Any data elements that are populated will be used to determine the client's eligibility. Quick Eligibility Check Guide.
If you want to help provide preventive care to kids and teens, you can enroll as a Texas Health Steps provider through the Provider Enrollment and Management System (PEMS). For more detailed information about Medicaid and Texas Health Steps services, policies, and claims, refer to the Texas Medicaid Provider Procedures Manual.
These pages will guide you through the process of enrolling as a provider using TMHP's Provider Enrollment and Management System (PEMS) tool. Additional helpful resources are available on the Enrollment Help page and the TMHP YouTube channel .
Providers enrolled with Texas Medicaid and other health-care programs render essential medical and preventive health-care services to clients while focusing on providing the best medical care possible.
If you are in Managed Care, please go to your health plan's provider list or call your health plan for more information. To learn more about Medicaid health plan providers visit the HHSC website.
TMHP
The Texas Medicaid & Healthcare Partnership (TMHP) is committed to helping you join the thousands of Texas providers who are helping low-income Texans stay healthy. TMHP provides the following kinds of help with enrollment: Online enrollment through the Provider Enrollment and Management System; Customized online instructions for every provider ...
For a step-by-step guide to the Provider Enrollment and Management System, visit the PEMS Instructional Site. TMHP is committed to assisting providers with enrollment in the Texas Medicaid program and other State Health-Care programs.
You must follow the rules and regulations for prior authorizations that are published in the Texas Medicaid Provider Procedures Manual. You can submit prior authorizations through PA on the Portal and on paper.