Provider Enrollment Management System (PEMS) Go-live May 30: Ensure Your Information Is Current

Date: May 28, 2025

Attention: All Providers

Call to action: Texas Children’s Health Plan (TCHP) would like to remind providers to update their provider profile in the Provider Enrollment Management System (PEMS) by Friday, May 30, 2025. Don’t wait – ensure your information is current to avoid any disruption to claims processing.

As per guidance from the Texas Health and Human Services Commission (HHSC) and the Texas Medicaid & Healthcare Partnership (TMHP), TCHP will require all providers to ensure their information is aligned across the Provider Enrollment and Management System (PEMS) effective May 30, 2025.

PEMS is the official source of truth for all provider information.
TCHP will contract, credential and pay only those providers who are properly enrolled with TMHP and whose information is received in the official PEMS file from TMHP.
It is essential for every provider to be enrolled at each location where they see patients. This will help ensure an accurate online directory with correct search results.

As a reminder, the credentialing functionality will be deployed in PEMS on August 31, 2025 in the following stages:
Stage 1: Providers completing initial credentialing with DMOs start using PEMS for credentialing.
Stage 2: Providers completing initial credentialing with MCOs start using PEMS for credentialing.
Stage 3: Providers completing recredentialing with MCOs and DMOs start using PEMS for recredentialing.

Next step for providers: We encourage providers to view a presentation on PEMS and stay informed about these changes for ensuring smooth participation. For more information on PEMS, view our Provider Enrollment Requirements page.

Helpful resources:

If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org.

For access to all provider alerts: www.texaschildrenshealthplan.org/provideralerts.