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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 1: Provider Enrollment and Responsibilities : 1.3 Provider Reenrollment

1.3 Provider Reenrollment
Providers must submit a new application and a new provider identifier must be issued when there are changes in Medicare number, ownership, status, address, or principal information. The new application may be submitted electronically using PEP or by submitting a completed paper Texas Medicaid Provider Enrollment Application. A new application is required when one of the following changes:

Texas Medicaid & Healthcare Partnership
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