This is an update to the article titled, “Change to Provider Enrollment Revalidation Due Dates in Response to COVID-19 Emergency,” which was published on this website February 2, 2021.
Providers are strongly encouraged to avoid potential enrollment delays by submitting Revalidation applications immediately before the end of the current COVID-19 Public Health Emergency.
Federal law requires all providers to revalidate their Medicaid enrollment at least every five years. However, due to the public health emergency the Centers for Medicare & Medicaid Services (CMS) provided extensions to the revalidation date.
TMHP will notify providers 120 days before their recalculated enrollment end date. However the ability to submit a Revalidation application is currently open to all providers who wish to get ahead of the process.
Refer to: CMS guidance titled Planning for the Resumption of Normal State Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Operations Upon Conclusion of the COVID-19 Public Health Emergency.
Texas Medicaid, Children with Special Health Care Needs (CSHCN), and Family Planning Program providers should confirm their current enrollment information regularly. Providers can view their enrollment information through the Provider Information Management System (PIMS). To reduce delays in application processing during the revalidation process, providers are encouraged to update the following data elements prior to submitting a revalidation application:
- First and last name
- Organization name
- Social Security number
- Date of birth
- Employer’s Tax Identification Number and legal name
Providers can refer to the Texas Medicaid & Healthcare Partnership (TMHP) Provider Information Management System (PIMS) User Guide for information on how to use this tool.
For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.