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General Inquiries:800-925-9126. This provider line offers general information concerning Texas Medicaid, Texas Healthy Women, and the Family Planning Program. Agents can assist with claims filing, financial inquiries, eligibility, and provider education. The following options are available:
Call your provider's office right away. Make sure they know you or your child are on Medicaid or the CSHCN Services Program and that they have your client ID number. If the provider is not enrolled or you do not have coverage for the date (s) of service, you will be responsible for the bill.
Welcome Texas Medicaid Providers. The Texas Medicaid & Healthcare Partnership provides the resources to help providers succeed with their Medicaid practice. My Account
While similar to Medicaid, the CSHCN Services Program is not a Medicaid program. To enroll in the CSHCN Services Program, providers must be enrolled in Medicaid. For more information, call 800-568-2413, Option 2. CSHCN Services Program Provider Manual
Call 800-925-9126, Option 1 to check claim status, client eligibility, benefit limitations, current weekly payment amount, and claim appeals. Eligibility and claim status information is available 23 hours a day, 7 days a week, with scheduled down time between 3 a.m. and 4 a.m., Central Time.
The Provider Enrollment and Management System (PEMS) is an electronic application that will guide you through the process of enrolling in Texas Medicaid and other State Health-Care programs. PEMS provides immediate feedback on your application so that you can address issues before submitting your application.
For information about Medicaid provider identifier requirements, the status of your enrollment, or claims submission, call TMHP Contact Center toll-free at 1-800-925-9126. Thank you for your applying to become a Texas Medicaid provider.
Phone—through the TMHP Contact Center at 1-800-925-9126. Please note that some claims cannot be appealed by phone. By mail—find the correct address in the “appeals” section of the Texas Medicaid Provider Procedures Manual. Administrative Reviews (for CSHCN Services Program providers)
Providers may contact the TMHP TPL/Tort Department by calling 1-800-846-7307, Option 3, sending a fax to 1-512-514-4225, or mailing to the following address: Texas Medicaid & Healthcare Partnership TPL/Tort Department PO Box 202948 Austin, TX 78720-2948. 8.7.1.2 Workers’ Compensation
TMHP Contact Center: 1-800-925-9126. The TMHP Contact Center can assist users with navigating and locating information contained on this website. Contact Center Agents are available Monday through Friday, from 7 a.m., to 7 p.m., Central Time.