Beginning March 24, 2011, providers with certain provider types
must ensure that their information is correct in the Online Provider Lookup
(OPL) by verifying or updating key demographic information every six months in
the Provider Information Management System (PIMS). Affected provider types
include, but are not limited to, physicians, nurses, dentists, and durable
medical equipment providers.
If more than six months have
elapsed since the required demographic information in the OPL has been verified,
providers will find that access to many functions on the secure provider portal
have been blocked. Access remains blocked until the account administrator goes
to PIMS and verifies or updates the necessary information.
Non-administrative users must let their account
administrators know that PIMS needs to be verified or updated. To identify the
administrator for an account, the non-administrative user can:
- Click the National Provider Identifier (NPI) on
their “Review Required” page.
- Click Provider Administrator Lookup from the “My Account main” page.
Changing an Account Administrator
If the administrator on an account needs to be
removed or updated, providers must submit the following information on facility
or company letterhead by mail or fax to TMHP:
- Provider’s Texas Provider Identifier (TPI).
- Provider name.
- Instructions to remove the current administrator.
- List the administrator name.
- Contact name, title, fax phone number.
primary contact’s signature.
Information can be faxed to: 1-512-514-4228
Information can be mailed to:
Texas Medicaid & Healthcare
Attn: EDI Help Desk MC-B14
P.O. Box 204270
Austin, Texas 78720-4270
The provider will be notified by fax when the process has
Important: If information for the account administrator needs to be updated, please
submit the request as soon as possible. The
updating process can take up to 30 calendar days.
Existing Users Becoming Account Administrators
A user that has an existing
TMHP.com account can create an administrative account by clicking on “Administer
a Provider Identifier Link” on the “My Account” home page and following the
Creating a New Account
If a provider does not have an account on the secure provider
portal on the TMHP website, the provider can create an account by clicking on
the “I would like to” link on any of the Medicaid provider pages on the TMHP
website and then clicking “Activate my
account.” The user who creates the account will be designated as the
administrator for that provider identifier.