SNAP Update and Resources Actualización y recursos de SNAP

On November 1, 2025, the requirements to receive and apply to the Supplemental Nutrition Assistance Program (SNAP) benefits have changed. To see the new policies to request SNAP benefits, click here and/or call 211 for SNAP assistance. Learn more

El 1 de noviembre de 2025, cambiaron los requisitos para recibir y aplicar para los beneficios del Programa de Asistencia Nutricional Suplementaria (SNAP, por sus siglas en inglés). Para consultar las nuevas políticas para aplicar para los beneficios de SNAP, haz clic aquí o llama al 211 para obtener ayuda de SNAP. Aprende Más

Transportation Update Actualización de transporte

SafeRide Health (SRH) is the new provider for all NEMT rides to doctor appointments and pharmacy visits.

Depending on your needs, rides may include wheelchair-lift-equipped vehicles, stretcher vans, minivans, or ambulatory vans. Please let SRH know what type of ride you need when scheduling.

Learn more

SafeRide Health (SRH) es el nuevo proveedor de todos los servicios de transporte médico que no son de emergencia (NEMT, por sus siglas en inglés) hacia consultas médicas y farmacias.

Según tus necesidades, los servicios de transporte pueden incluir vehículos con elevador para sillas de ruedas, camionetas con camilla, minivans o camionetas ambulatorias. Por favor, informa a SRH qué tipo de transporte necesitas al programar tu traslado.

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Clarification on the PEMS Change of Ownership (CHOW) Process

Date: November 25, 2025

Attention: Providers

Call to action: This communication is an update to a previously published Texas Medicaid Healthcare Partnership (TMHP) bulletin from May 2023. This alert offers clarity and more information about the Provider Enrollment and Management System (PEMS) change of ownership (CHOW) process.

How this impacts providers: CHOW with Different NPIs

If the buyer (new owner) and seller (old owner) have different National Provider Identifiers (NPIs), the following procedures apply:

  • If the NPI or Atypical Provider Identifier (API) of the new owner—listed as a current owner on the PEMS Ownership/Controlling Interest page—is already enrolled in PEMS, the new owner must submit a PEMS-Existing Enrollment application using that NPI/API.
  • If the new owner’s NPI or API is not yet enrolled in PEMS, the new owner must submit a PEMS-New Enrollment application under the new NPI.

CHOW with the Same NPIs

If the buyer (new owner) and seller (old owner) share the same NPI and the buyer does not have an active enrollment that is associated with that NPI or API, the buyer must submit a PEMS-New Enrollment application. Submitting a PEMS-New Enrollment application will establish a new profile for the same NPI, which will reflect the updated ownership. The previous profile, which represents the former ownership, will be disenrolled.

The following table lists the appropriate PEMS application type for each CHOW scenario:

NPI/API Change?PEMS Application Type
NoNew Enrollment
Yes, and the new owner’s NPI/API is active in PEMSExisting Enrollment
Yes, and the new owner’s NPI/API is not active in PEMSNew Enrollment

Next step for Providers: Providers should share this communication with their staff and follow the guidance offered in this alert and if needed, seek additional information from the resources listed below.

Criteria for CHOW 
Some scenarios may appear to be a CHOW but do not meet the criteria for a true CHOW. It is essential to verify whether a true CHOW has occurred by reviewing the criteria that are listed in the Code of Federal Regulations §489.18 Change of ownership or leasing: Effect on provider agreement.
The following scenarios are not CHOWs:

  • Stock transfers and corporate mergers
  • Changes of information such as changes of principals or controlling interest

Provider Resources:

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

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