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 new system will be the single tool for provider enrollment, reenrollment, revalidation, and maintenance requests (maintaining and updating provider enrollment record information). PEMS will automate and streamline the provider enrollment process by removing the requirement to use paper forms, simplifying the process for providers to complete their National Provider Identifier (NPI)-based enrollment. Providers or individuals who do not provide health-care services and are not required to have NPIs may have been issued Atypical Provider Identifiers (APIs). These providers should use their APIs.

Key Details:

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.

Additional Information:

HHSC and TMHP will post more information about the upcoming changes, including provider training and resources prior to the December implementation.

These notices will be going out on a two-week cadence until the PEMS release. 

Resources:

https://www.tmhp.com/news/2021-10-13-coming-soon-tmhp-provider-enrollment-and-management-system-pems

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