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Update to “Collaborative Care Model Attestation Process to Update on August 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.

This is an update to the article titled, “Collaborative Care Model Attestation Process to Update on August 1, 2024,” which was published on this website on June 14, 2024, to clarify to providers of Collaborative Care Model Attestation (CoCM) services the steps for completing a CoCM attestation maintenance request in the Provider Enrollment and Management System (PEMS): 

  1. From the PEMS Provider Management Dashboard, navigate to the Provider Management tab, and use the Search NPI field to find the approved National Provider Identifier (NPI) record.
  2. Select the ellipses of the enrollment record and click View.
  3. Click on Edit Enrollment Record.
  4. Locate the Maintenance – Practice Location – Attestation from the request type column. Under the request action column, select Create Request which will take you directly to the screen you want to edit. In this example, it will take you directly to the Practice Location Information page.
  5. From the Practice Location Information page, select the ellipsis button, and click Open for the practice location you want to edit.
  6. Select the Programs and Services Participation tab on the left-hand menu.
  7. From the Programs and Services Participation screen, select the ellipsis button, and click Open for the program you want to edit.
  8. Scroll down to the "Collaborative Care Model (CoCM) Services” section to update your current selections. You may only edit the CoCM attestation for the selected maintenance request. All other fields will be grayed-out and cannot be edited.
  9. If you indicate “Yes” to providing CoCM services at the practice location, then you must check each box to indicate you have an established CoCM program and that you will provide the services in accordance with the CoCM Core Principles.
  10. If you indicate “No” to providing CoCM services at the practice location, then you may proceed to the next step.
  11. To attest for other locations, use the left navigation arrow in the blue header to return to the Practice Location Information Page. You must repeat these steps for each practice location.
  12. After you have completed the CoCM attestation for each practice location, click Save Draft to save the changes and revisit the page later, or click Submit All Changes to submit the maintenance request. Do not select Submit All Changes until you have completed the CoCM attestation for all active Acute Care Fee-For-Service (FFS) practice locations.

 Please be aware that: 

  • CoCM attestation maintenance requests are automatically approved, and changes will display immediately.
  • Only qualifying CoCM providers and Acute Care FFS program practice locations are applicable for CoCM attestation updates. Non-applicable provider types and programs cannot view or edit the CoCM attestation questions.

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