What do you need to do?

Make a new Texas Medicaid application First-time applicants Re-applicants Existing providers with any of the following changes: New Medicare number Change of ownership Change of provider status (individual, group, performing provider, or facility), for example, a performing provider leaving a group practice Change or addition of a provider type Opening of additional practice locations

Change of ownership for Medicaid provider

Change some information for an existing provider account

Apply to become a Texas Health Steps (THSteps) provider

Apply to become a dental provider. Dental providers must complete a separate enrollment application for each practice location. Note: If enrolling as a Doctor of Dentistry practicing as a Limited Physician, providers must complete the Medicaid Provider Enrollment Application Form.

Apply to become a Children with Special Health Care Needs (CSHCN) Services Program provider.

Pharmacy providers are eligible to participate in THSteps-Comprehensive Care Program (CCP). To be enrolled in CCP, the pharmacy must also be enrolled in the Vendor Drug Program (VDP). Pharmacy providers currently enrolled with VDP are also enrolled in THSteps-CCP with TMHP. This enrollment allows pharmacy providers to bill for those medications and supplies payable by Medicaid for clients younger than 21 years of age but not covered by VDP (e.g., some over-the-counter drugs, diapers, and disposable or expendable medical supplies). Pharmacy providers must continue to bill HHSC for drugs covered under VDP. For more information, please refer to the 2008 Texas Medicaid Provider Procedures Manual, section 43.4.11 .

Apply to become a provider for Long Term Care (LTC) programs TMHP's Provider Enrollment Unit does not enroll providers for LTC programs. LTC programs providers should contact the Texas Department of Human Services (TDHS) at 1-512-438-2200, (fax 1-512-490-4668) or submit an electronic inquiry on the TDHS website.