region/plan-specific news : Commercial Health Plans - excluding California

Texas Medicaid providers: Ensure your service locations and addresses are correct in PEMS

Keeping your practice information up to date is essential to ensuring appropriate referrals, appointment availability and accurate and timely claims processing.  This is why, in  addition to notifying Magellan of your updated addresses, if you are part of our network for Texas Medicaid, you must also ensure each of your service locations are accurate and enrolled with the State using the online Provider Enrollment and Management System (PEMS) tool at www.tmhp.com.*

This is a state and contractual requirement.

See the Texas Medicaid Provider Procedures Manual for the following important information:

• Enrollment and enrollment revalidation requirements – pages 5-6
• Revalidation - page 10
• Provider status and changes to physical addresses – pages 20-21
• Maintenance of provider information – pages 25-26

Thank you for your attention in ensuring your practice is compliant with this requirement and thank you for your network participation. 

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