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TMPPM Update for Attestation Form for Collaborative Care Model to Be Submitted in PEMS Effective February 1, 2024

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Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO. Administrative procedures, such as prior authorization, precertification, referrals, and claims and encounter data filing, may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the member’s specific MCO for details.

Effective February 1, 2024, the Attestation Form for Collaborative Care Model (CoCM) must be submitted in the Provider Enrollment and Management System (PEMS). The Texas Medicaid & Healthcare Partnership (TMHP) will update the Texas Medicaid Provider Procedures Manual (TMPPM), Behavioral Health and Case Management Services Handbook, section 10, “Collaborative Care Model (CoCM),” to include this update.

Prior to delivering CoCM services, providers (physicians, physician assistants, nurse practitioners, and clinic/group practices) must attest in PEMS that their practice location has an established CoCM program. To ensure continued adherence to the CoCM principles and the specific requirements of CoCM, the providers must also re-attest in PEMS at the time of enrollment revalidation.

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