Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, precertification, 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.
This is an update to an article titled “Kidney Health Care and Children with Special Health Care Needs – Family Support Services Texas Medicaid Provider Enrollment,” which was posted on the TMHP website on August 15, 2022.
The home health agency provider type has been added to the Children with Special Health Care Needs – Family Support Services (CSHCN-FSS) program as a type that the Texas Medicaid & Healthcare Partnership (TMHP) will enroll.
Texas Medicaid Provider Enrollment
TMHP will enroll the following provider types for the Kidney Health Care (KHC) and CSHCN-FSS programs:
- Ambulatory surgical center (ASC)
- Certified registered nurse
- Clinic/Group practice
- Hospital – In state
- Hospital – Out of state
- Hospital – Military
- Hospital – Transplant
- Hospital ambulatory surgical center (HASC)
- Physician (MD/DO)
- Prescription drug program
- Renal dialysis facility (freestanding)
- Renal dialysis facility (hospital based)
- Respite care
- Home modifications
- Home inspectors
- Vehicle modifications
- Home health agency
For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.