Take action now to ensure your enrollment and demographic information with Texas Medicaid Healthcare Partnership (TMHP) Provider Enrollment and Management System (PEMS) is current to avoid any unnecessary disruption to claims processing.
Ensure your information is current to avoid any disruptions to your operations.
Sarepta suspends the drug, ELEVIDYS (HCPCS code J1413) for Non-ambulatory patients with Duchene muscular dystrophy due to patient safety concerns including risk for acute liver failure and death.
Providers should halt the administration of ELEVIDYS for non-ambulatory clients while an enhanced immunosuppressive regimen is evaluated.
Click here to view the provider alert with more information.
Texas Children’s Health Plan (TCHP) will contract, credential and pay only those providers who are properly enrolled with Texas Medicaid & Healthcare Partnership (TMHP) and whose information is received in the official Provider Enrollment and Management System (PEMS) file from TMHP. In addition, it is important that every provider be enrolled at each location where they see patients. Click here to view a Provider Alert with more information .
NEW resource from TMHP: Provider Enrollment Assistant Tool (PEAT). Click here to view a provider alert with more informaton.
For more information, FAQs, and other resources, visit our Provider Enrollment Requirements page . We also invite you to view our PEMS and Revalidation Information video
Our website for providers is designed as a tool to help you. You can find an array of resources such as:
These Provider Advisory Groups provide recommendations to Texas Children’s Health Plan in the following areas:
There is a Clinical and Administrative Advisory Committee for each of our three Service Areas:
The Behavioral Health Advisory Committee and Perinatal Advisory Committee meet in the Harris Service Area.
The meeting cadence for each of the committees are as follows: