August 4th, 2022
All New LTC Providers must Enroll in Texas Medicaid. (So, this means even HCS provider applicants, at least once they are nearing the stage of having their application approved and/or at the latest, prior to receiving their contract/s. Remember, you can’t start providing services and accepting clients to your HCS program until you get your letter with the approved contract/s.
LTC-only Providers Enrolling Through Provider Enrollment and Management System (PEMS)
“A new applicant that wants to obtain a contract to provide Texas Health and Human Services LTC Medicaid services must enroll in Texas Medicaid.”
- Applicants that intend to bill through TMHP for acute care or long-term care only services must enroll through TMHP.
For more information about Medicaid enrollment, visit www.tmhp.com
or call the TMHP Contact Center at 800-925-9126
FYI-New HCS Provider applicants, I would recommend utilizing the “walkthrough assistance” for enrollment.
TMHP offers hands-on assistance with completing and submitting the TMHP enrollment application.
For enrollment walkthrough assistance please contact the TMHP Contact Center (800-925-9126) or TMHP-CSHCN Services Program Contact Center (800-568-2413) or send an email to firstname.lastname@example.org to request assistance with enrollment questions
PROOF OF ENROLLMENT IN TMHP MUST BE SENT TO HHSC: IDD WAIVER CONTRACTS ENROLLMENT DEPARTMENT
Applicants must enroll in Texas Medicaid through TMHP and do not have to enroll through HHSC;
-however, these applicants must mail HHSC a copy of TMHP’s notification letter as proof of enrollment.
The notification letter must state HHSC has approved the application to become a Texas State Health-Care Programs provider and the enrollment term must be current.
Applicants should retain the original notification letter for their records.
If you are applying for a contract for any of the following programs
1. Home and Community-based Services (HCS)
2. Texas Home Living (TxHmL)
4. Community Living Assistance and Support Services (CLASS)
5. Consumer Directed Services (CDS)
6. Deaf-Blind with Multiple Disabilities (DBMD)
7. Transition Assistance Services (TAS)
send a copy of the TMHP notification letter to:
Texas Health and Human Services Commission
Contact Administration and Provider Monitoring
Mail Code W-359
P.O. Box 149030
Austin, TX 78714-9030
For more information about the Medicaid Provider Enrollment Process for LTC-only Billing, please click here.
If you are already a current LTC Provider, they must Re-Enroll or Revalidate in Texas Medicaid through TMHP