Good news! We’ve made it easier for Texas Children’s Health Plan members to log in to the MyChart website. Now, you can access all your MyChart health care features anytime, anywhere using our new sign-in widget. Click the link to log in now
¡Buenas noticias! Hemos hecho más fácil el inicio de sesión en MyChart para nuestros miembros de Texas Children’s Health Plan. Ahora puedes acceder a todas las funciones de cuidado médico de MyChart en cualquier momento y desde cualquier lugar mediante nuestro nuevo widget de inicio de sesión. Haz clic en el enlace para iniciar sesión.
Important UpdateActualización importante:
Good news! All CHIP, STAR, and STAR Kids Member Handbooks are now available online. Quick, easy access to your benefits and coverage information - any time!
¡Buenas noticias! Todos los manuales para miembros de CHIP, STAR y STAR Kids ya están disponibles en línea. Obtén acceso rápido y sencillo a la información sobre tus beneficios y cobertura, ¡en cualquier momento!
Updates and Directions in Preparation for Implementation of PEMS Master Provider File Regarding Address Differences
Date: September 9, 2024
Attention: All Providers
Updated PEMS Go-Live Date: May 30, 2025
Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that the effective date for Provider Enrollment and Management System (PEMS) is now May 30, 2025. The collaborative testing between Managed Care Organizations (MCOs) and Health and Human Services Commission (HHSC) determined that there are some providers with mismatched addresses in PEMS. The providers with these mismatched addresses in our network will receive communication directly from TCHP.
How this impacts providers: The communication from TCHP will include the following information:
Date providers must complete the address update
TCHP follows the State of Texas Medicaid contract guidelines. Therefore, providers must maintain their enrollment information including address information for each practice location within PEMS
“How to update the provider address in PEMS” YouTube video link
TMHP contact center phone number is 800-925-9126 Option 3 if providers have any questions
Providers that neglect to update their address information within the specified period will experience the following consequences:
Payment denial code will be applied by PEMS if the providers are not actively enrolled in PEMS
TCHP will deny the claim for those providers not actively enrolled in PEMS as previously stated in a provider alert, click here for the communication.
TCHP along with all other MCOs must report completion metrics to HHSC to help measure the address synchronization between the MCOs and PEMS. The report will include:
Total number of providers with “Address discrepancy”
The number of providers who performed the change
Percentage of updates made successfully
Next step for Providers: Providers must follow the PEMS guidance provided in this communication. Meeting the address synchronization between MCOs and PEMS will proportionately reduce claim denials for providers and improve the accuracy of encounter reporting and network adequacy to MCOs.
