Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details.
The Texas Medicaid & Healthcare Partnership’s (TMHP’s) Provider Enrollment and Management System (PEMS) is coming soon.
Provider enrollment functions will be available through PEMS, and providers must use this new system to enroll in Texas Medicaid and other state health-care programs.
The new system will be the single tool for provider enrollment, reenrollment, revalidation, change of ownership, and maintenance requests (maintaining and updating information in the provider enrollment record).
Register for the PEMS Provider Webinar scheduled for December 7, 2021, from 10 a.m. to noon.
The following training materials are now available on the PEMS Learning Path in the TMHP Learning Management System (LMS):
- PEMS Video Series
- PEMS Best Practices Guide
- A Quick Start Guide to Using PEMS
- PEMS Computer-Based Training (CBT), which includes six modules:
- General Information
- New Enrollment
- Provider Management
Note: You must have a username and password to access videos on the LMS. To obtain a username and password, click here.
The following PEMS informational videos are available on the TMHP YouTube channel within the Provider Enrollment and Management System playlist:
- “The Benefits of PEMS”
- “PEMS Dashboard Overview”
- “PEMS Navigation Panel”
Additional information related to PEMS is available on the TMHP website:
For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.