HHSC Provider Agreement Revalidation (Texas Health Steps Dental)
Instructions for Completing the HHSC Provider Agreement
- Read the agreement.
- Select “Yes” or “No” for “I attest that I have a compliance plan.”
- Select “Yes” or “No” for “I attest that an internal review was conducted to confirm that neither the applicant or the re-enrolling provider nor any of its employees, owners, managing partners, or contractors have been excluded from participation in a program under the Title XVIII, XIX, or XXI of the Social Security Act.”
- Click I attest that an internal review was conducted to confirm that neither I, the applicant Provider nor the re-enrolling Provider, nor any of my employees, or subcontractors have been excluded from participation in a program under the Title XVIII, XIX, or XXI of the Social Security Act.
- Click I agree to the terms and conditions above for the CSHCN Services Program Agreement.
- Click I agree to the terms and conditions above for the HHSC Provider Agreement.
- Click Continue and Save.
Note: This is a Revalidation page. If you would like information about another application type, Click Here.