Becoming a Participating Provider
If you are currently participating in the Texas Children’s Health Plan network, please find additional information on how to navigate the Contracting Gateway system here.
Providers joining an existing provider group may qualify for expedited credentialing. Click here for more information
Becoming a Participating Provider
How to join Texas Children's Health Plan Provider Network
Thank you for your interest in joining the Texas Children’s Health Plan network. In order to submit a request for consideration, please complete the following steps:
- Create a New Provider Record via TCHP Contracting Gateway at cobblestonegateway.texaschildrens.org
- New Users are required to create a New Provider Account in TCHP’s Contracting Gateway.
- New Users are required to create a New Provider Account in TCHP’s Contracting Gateway.
- Request New Provider Agreement
- Once a new account is activated, please allow 10 minutes for account activation prior to submitting a New Provider Agreement Request.
- New Provider Agreement requests require W9 and provider roster; provided below.
- Roster template
- W9 website
- Step by step instructions for TCHP’s Contracting Gateway can be accessed using the following link: Cobblestone Gateway User Guide
Credentialing requirements and process can be found in TCHP’s Provider Manual. Please be advised of the following practitioner rights under NCQA for practitioners who are undergoing the credentialing process:
Practitioners have the right to review information submitted by outside sources (malpractice insurance carriers, state licensing boards, etc.) to support their credentialing application. Texas Children’s Health Plan is not required to make available references, recommendations or peer review protected information.
Practitioners have the right to correct erroneous information identified in their credentialing application. Corrections must be submitted in writing to the Texas Children’s Health Plan Credentialing Department at TCHPCredentialing@texaschildrens.org within (10) days.
Practitioners have the right to receive the status of their credentialing or re-credentialing application, upon request, by emailing the Credentialing Department at TCHPCredentialing@texaschildrens.org. If a practitioner inquires about the status of their credentialing application, the credentialing staff will review the practitioner’s CAQH application and the status of the credentialing file, including pending and/or completed primary source verifications with Verisys. Once the staff determines the completeness and anticipation of credentialing committee review timeframe, the provider will be notified of their credentialing status via email. Credentialing status inquiries received via the provider hotline, will be forwarded by member services to the credentialing department.
For inquiries please contact TCHP's Contracting Department
Phone: 1-832-828-1004, option 6
Email: TCHPNetworkManagement@texaschildrens.org
Fax: 1-832-825-9360
For questions on the Contract Gateway process, please contact the Contracting Department via at tchpnetworkmanagement@texaschildrens.org.
For all other inquiries please contact Provider Network Management:
Provider Network Management:
1-832-828-1004, option 6
Fax: 1-832-825-9360Texas Children's Health Plan operates in the following service delivery areas:
New Provider Orientation
The assigned Provider Relations Manager will contact new providers to schedule an in-service for your office regarding Texas Children’s Health Plan’s policies and procedures.