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Reminder: Certain Provider Types Must Enroll as an Individual

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This is a reminder that certain provider types must enroll as an individual in the Provider Enrollment and Management System (PEMS). Individual enrollment applies to an individual health care professional who is licensed or certified in Texas and who is seeking enrollment under the name and Social Security number or tax identification number of the individual. An individual may also enroll as an employee, using the tax identification number of the employer.

The following provider types can enroll only as an individual:

  • Dieticians
  • Licensed vocational nurses (LVNs)
  • Physical and occupational therapists
  • Registered nurses
  • Respiratory care practitioners

On April 1, 2025, the Texas Medicaid Provider Procedures Manual (TMPPM), “Section 1: Provider Enrollment and Responsibilities,” subsection 1.1.4 “Provider Enrollment Identification,” will be updated to identify all provider types that must enroll as an individual.

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