In-Flight Revalidation Application Required to Receive a Second or Third Extension
Date: January 15, 2026
Attention: All Providers
Effective Date: February 1, 2026
Call to action: Texas Children’s Health Plan (TCHP) would like to inform network providers that effective February 1, 2026, the Health and Human Services Commission (HHSC) will implement additional eligibility criteria for second and third revalidation due date extensions. There are no changes to first-time extension criteria.
First-Time Revalidation Extensions (No Change)
Providers that have not previously received a revalidation due date extension and have a revalidation due date on or before May 31, 2026, remain eligible for an extension of 180 calendar days.
Second Revalidation Extensions (Effective February 1, 2026)
Beginning February 1, 2026, providers are eligible for a second revalidation due date extension of
180 calendar days only if both of the following criteria are met:
- The provider’s current revalidation due date is on or before May 31, 2026, based on having already received one 180-day extension; and
- The provider has submitted a revalidation application in the Provider Enrollment and Management System (PEMS) prior to their revalidation due date.
Third Revalidation Extensions (Effective February 1, 2026)
Beginning February 1, 2026, providers are eligible for a third revalidation due date extension of 60
calendar days only if both of the following criteria are met:
- The provider’s current revalidation due date is on or before May 31, 2026, based on having already received two prior 180-day extensions; and
- The provider has submitted a revalidation application in PEMS prior to their revalidation due date.
Next step for providers: Revalidation due date extensions are not automatic. TCHP will review and verify extension approvals.
Resources:
Providers may refer to the PEMS educational videos on TMHP’s Provider Enrollment & Management System Playlist on YouTube, which includes the following:
- Revalidating an Individual
- Revalidating a Performing Provider
- Revalidating a Clinic/Group Practice or Facility
The following resources provide more information about Medicaid provider revalidation requirements and common deficiencies to avoid:
- Common Deficiencies Identified by OIG
- Provider Enrollment Revalidation in PEMS
- ACA Screening Requirements
Providers may refer to the Provider Enrollment Help page or the PEMS Instructional Site on tmhp.com for additional revalidation or reenrollment support.
Providers are encouraged to inform their staff of this communication. Providers can contact their Account Lead or Provider Relations Liaison (PRL) to address any questions. If you’re unsure who your Account Lead or PRL is, please visit https://www.texaschildrenshealthplan.org/for-providers/meet-our-team.
If you have any questions, please email Provider Relations at providerrelations@texaschildrens.org.
For access to all provider alerts www.texaschildrenshealthplan.org/provideralerts.