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December 2016 Texas Medicaid Provider Procedures Manual

Section 1: Provider Enrollment and Responsibilities : 1.4 Provider Reenrollment

1.4
Providers must submit a new application and a new provider identifier must be issued when there are changes in the Medicare number.
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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