5.8.1.2 Enrollment Procedures

Providers are strongly encouraged to participate in EFT. EFT does not require special software, and providers can enroll immediately. To enroll in EFT, complete the “Electronic Funds Transfer (EFT) Notification,” located in Appendix B on page B‑139. Complete the EFT form, include a deposit slip or canceled check, and mail or fax the items to:

Texas Medicaid & Healthcare Partnership
Attn: Provider Enrollment
PO Box 200795
Austin, TX 78720–0765
Fax: 1-512-514-4214

The EFT form allows the entry of up to eight TPI numbers. Additional EFT forms may be submitted when a provider needs to list more than eight TPI numbers. Each form must include a provider signature.

TMHP issues a prenotification transaction during the next cycle directly to the provider’s bank account. This transaction serves as a checkpoint to verify EFT is working correctly.

If the bank returns the prenotification without errors, the provider begins to receive EFT transactions with the third cycle following the enrollment form processing. The provider continues to receive paper checks until they begin to receive EFT transactions.

If the provider changes bank accounts, the provider must submit a new EFT Agreement to the TMHP Provider Enrollment department. The prenotification process is repeated and, once completed, the EFT transaction is deposited to the new bank account.