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Online Provider Enrollment
Information posted October 24, 2008: Reminder: Potential and current Texas Medicaid, Children with Special Health Care Needs (CSHCN) Services Program, and Primary Care Case Management (PCCM) providers can complete the initial enrollment and reenrollment applications online at the Access Provider Enrollment page on this website. Click on the title to view the details.

Enrolling online promotes accurate submissions, decreases processing time, and enables immediate feedback on the status of the application. Online enrollment has the following advantages:

  • Applications are validated immediately to ensure that all fields have been completed.
  •  Most of the application can be completed online, so that only a few forms need to be printed, completed, and mailed to TMHP.
  • Applicants can view incomplete and complete applications that have been submitted online.
  • Some form fields are automatically completed, which reduces the amount of information that has to be entered.
  • Providers can complete the Provider Information Change (PIC) form online.
  • Providers will receive e-mail notifications when messages or deficiency notices about their applications are posted online. The messages can be viewed on the secured access portion of the website. Providers can opt out of e-mail communication and receive messages or deficiency letters by mail.

  A link to the provider enrollment application is provided on the homepage of this website. Applicants are prompted to register if they have not already done so.

Microsoft Internet Explorer 6.0 and Adobe Reader 8.0 are required to use online enrollment.

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