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1.1.3.11 Copy of License/Temporary License/Certification
TMHP receives licensure information from the following licensing boards:
• Texas Medical Board.
•Texas State Board of Dental Examiners.
•Texas State Board of Examiners of Psychologists.
•Texas Board of Chiropractic Examiners.
•Texas Board of Nursing.
Once enrolled in the Texas Medicaid Program, a reminder letter will be automatically generated and sent to providers 60 days before the provider's license expires. When the license is renewed, providers licensed by the boards listed above will not need to contact TMHP with renewal information.
Not abiding by this license and certification update requirement may impact a provider's qualification for continued participation in the Texas Medicaid Program. If a provider's license has expired, a termination letter will be sent to the provider, and all claims filed on and after the expiration date will be denied.
To have claims payments resumed, updated information must be sent to the applicable licensing board to renew the license. Payment will be considered for dates of service on or after the date of license renewal. Claims denied due to an inactive license may be appealed, and payment will be considered for dates of service on or after the date of return to active license status.
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