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Provider Enrollment Revalidation Extensions to End on February 28, 2022

Date: 11/23/21

Effective February 28, 2022, Texas Health and Human Services (HHS) is ending the flexibility that extended revalidation dates due to the COVID-19 public health emergency (PHE). Providers that were due for revalidation effective March 1, 2020, through February 28, 2022, will be given a post-PHE grace period to complete the revalidation process.

Texas Medicaid & Healthcare Partnership (TMHP) will notify providers in January 2022 of their recalculated enrollment end date and again 120 days prior to their enrollment end date. However, the ability to submit a revalidation application is currently open to all providers that wish to begin the process. Providers are strongly encouraged to avoid potential enrollment delays by submitting revalidation applications immediately.

Provider Enrollment Requirements

Texas Medicaid, Children with Special Health Care Needs (CSHCN) Services Program, and Family Planning Program providers should confirm their current information regularly. Providers can view their enrollment information through the Provider Information Management System (PIMS) and after December 2021 in the new Provider Enrollment and Management System (PEMS).

To reduce delays in application processing during the revalidation process, providers are encouraged to update the following data elements prior to submitting a revalidation application:

  • First and last name
  • Organization name
  • Social Security number
  • Date of birth
  • Employer’s Tax Identification Number and legal name

Providers can refer to the TMHP Provider Information Management System (PIMS) User Guide for information on how to use this tool. Additional information related to PEMS is available on the TMHP website: The Benefits of PEMS

Providers can refer to the following related article for information:

For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.