TMPPM 2009 > Provider Information > Provider Enrollment and Responsibilities > Provider Enrollment

   
 

1.1.3 Enrollment in Medicaid Managed Care Programs

A Texas Medicaid provider who wishes to become a primary care provider for Primary Care Case Management (PCCM) clients must be an approved provider, by having at least one active Texas Provider Identifier (TPI), before the provider is eligible to enroll with PCCM.

To be reimbursed for services provided to other Medicaid Managed Care clients, a provider must first be an approved provider by having at least one active provider identifier. Then, the provider must enroll with the health plan in which the provider's patients are enrolled. Such providers may also be eligible to enroll in Medicaid Managed Care health plans as primary care providers.

Refer to: "Medicaid Managed Care" for more information about PCCM and Managed Care enrollment.


Texas Medicaid & Healthcare Partnership
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