Hot off the press! The Community First 2021 Fall/Winter Member and Provider Newsletters are now available to read/download on our website. The Provider Newsletter includes important information about: Updated clinical practice guidelinesCare Management services...
Read all about it! The Community First 2022 Fall/Winter Provider Newsletter is now available to read and download on our website! Our Provider Newsletter has curated news specifically for Community First Providers, including: EVV Policy Handbook updates Claims...
Background: HHSC is continuing the roll-out of the Provider Enrollment and Management System (PEMS). Providers must use this new system to enroll. This new system will be the single tool for enrollment, reenrollment, revalidation, and maintenance requests...
Effective August 1, 2024, the Attestation Form for the Collaborative Care Model (CoCM) in Texas Medicaid will be removed from the Texas Medicaid & Healthcare Partnership (TMHP) website and made available in the Provider Enrollment and Management System (PEMS). Key...
Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ...
Background: The Texas Medicaid & Healthcare Partnership’s (TMHP) Provider Enrollment and Management System (PEMS) is coming soon. Provider enrollment functions will be available through PEMS, and providers must use the new system to enroll in Texas Medicaid. The...
