TMHP, New Provider Enrollment Tool

Addressing physician concerns about online Medicaid enrollment challenges, the Texas Medicaid and Healthcare Partnership (TMHP) has announced its new Provider Enrollment Assistant Tool (PEAT) is available for enrollment-related help. 

Users can navigate to the help page in TMHP’s provider enrollment section to access the tool, which TMHP describes as “question-based software.” Typing in a question prompts PEAT to provide:   

  • Answers to revalidation questions, including due dates; 
  • Online appointment scheduling for personalized support with enrollment issues, including step-by-step guidance from a TMHP representative;  
  • Information about Provider Enrollment and Management System (PEMS) maintenance requests; and 
  • Instructions for new enrollments, re-enrollments, and updates to existing enrollments. 

Before initiating a PEAT request, TMHP advises having at the ready your National Provider Identifier (NPI), ZIP code, taxonomy number (if applicable), and any contact information related to the NPI.  

In addition to a PEAT info sheet accessible online, TMHP is offering walk-through sessions for those needing additional enrollment support, which can be scheduled via PEAT, and offers an online PEMS guide updated in March. 

HHSC Extends Medicaid Revalidation Another 6 Months

HHSC Extends Medicaid PEMS Revalidation

~Phil West, TMA

Health and Human Services Commission (HHSC) has provided an extension for physicians due for revalidation between Dec. 13 and May 31 through Texas Medicaid & Health Partnership’s (TMHP’s) Provider Enrollment and Management System (PEMS).

While the extension grants an additional 180 days to physicians due for revalidation between those dates, TMA advises physicians who are due for revalidation over the next six months to file online with HHSC as soon as possible. 

Texas Medical Association

Coming Soon: PEMS

Coming Soon: TMHP Provider Enrollment and Management System (PEMS)

Providers should plan for the following changes on December 13, 2021:

  • PEMS will replace Provider Enrollment on the Portal (PEP) and the Provider Information Management System (PIMS).
  • PEP and PIMS will no longer be available.
  • Paper applications for Texas Medicaid provider enrollment will be eliminated with the new online system.
  • Providers must have access to the internet to utilize PEMS and use up-to-date internet browsers for optimum performance of the PEMS portal. Use Google Chrome or Microsoft Edge to reduce compatibility issues
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