November 16th, 2021

Starting August 2021, HHSC has begun the transition to one system for Provider Enrollment Management which will move to 1 “smart system” if you will for both application process to become a provider/Medicaid provider, re-enrollment every 5 years, and the forms/application will be uniform.  They will go directly into TMHP system, not to HHSC.  The current paper application forms will not be required.  They have begun the process with existing providers.  At this point the “How To Become An HCS Provider?” is still showing the old application process, so not sure when that will formally change over for brand new HCS/TxHmL provider applicants.  There are no “brand new” applicants in the ICF program, only re-enrollments, unless the ICF has been purchased by a new owner and at that point, re-enrollment is required.

One system=PEMS
One NPI-based enrollment
One dynamic smart application (no paper)
One dynamic smart provider agreement
One standardized set of enrollment forms
One provider message board

In Summary:

Providers will be enrolling through PEMS online application, no more paper applications. You will no longer enroll  through HHSC, the application will go directly to TMHP


IDD providers may recall that in 2015 legacy DADS issued a notice that Medicaid providers had to enroll or re-enroll in Medicaid by March 24, 2016, and every 5 years thereafter.  At the time, the process required payment of an application fee that was sent to legacy DADS.   Providers were informed, that as a result, the PHE, revalidation was postponed, and that changes to the process were forthcoming (in particular, that the application process would be completed through a TMHP portal).

Effective February 28, 2022 HHSC is ending the flexibility that extended revalidation dates due during the 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.  TMHP will notify providers in January 2022 of their recalculated enrollment end date and again 120 days prior to their enrollment end date.
  • A webinar to review the process will be held December 7, 2021. See registration link below.
  • The system/portal will go live December 13, 2021.
 HHSC also asked that questions about PEMS be directed to: providerenrollmentmanagementsystem@hhs.texas.gov