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Updated Medical Transportation Program Provider Application Available June 1, 2021

Last updated on 6/1/2021

Texas Medicaid & Healthcare Partnership (TMHP) has updated the paper version of the Medical Transportation Program Provider Application.

The Type of Enrollment has been updated on the application. The paper application will include a checkbox for Demand Response Transportation Services (DRTS) Provider, and DRTS Provider – Transportation Network Company beginning June 1, 2021.

The application updates will also be reflected in Provider Enrollment on the Portal.

The following provider enrollment application was updated June 1, 2021:

Note: Previous versions of the application above will be accepted by TMHP through June 30, 2021. Effective July 1, 2021, providers must submit the revised version. TMHP will mark as deficient and return to providers previous versions that are received after June 30, 2021.

For more information, call the TMHP Contact Center at 800-925-9126.