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December 2016 Texas Medicaid Provider Procedures Manual

Medicaid Managed Care Handbook : 2 Overview of Medicaid Managed Care : 2.2 Provider Enrollment and Responsibilities : 2.2.3 Terminated Enrollment

Texas Medicaid monitors provider claim activity. Providers that have not submitted a claim to Texas Medicaid or a Medicaid MCO or dental plan within an 18-month period are notified that their Texas Medicaid enrollment will be terminated at 24 months if they have not submitted any claims.
If a provider’s Texas Medicaid enrollment is terminated, the provider’s Medicaid managed care contracts with individual MCOs or dental plans will also be terminated.
To reactivate a TPI that has been terminated, the provider must complete the Texas Medicaid Provider Enrollment Application.

Texas Medicaid & Healthcare Partnership
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