The Texas Medicaid & Healthcare Partnership’s (TMHP) Provider Enrollment and Management System (PEMS) is coming soon.

PEMS Portal Effective December 13, 2021

Background:
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.

Summary of Request:
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
provider health-care services and are not required to have NPIs may have been issues
Atypical Provider Identifiers (APIs). These providers should use their APIs.

Action:
Portal Account Information: Providers will need to ensure their demographic and
account information is kept up-to-date with the most current provider data
National Provider Identifier (NPI) and Taxonomies: Providers should verify that provider
information on file and taxonomies match when enrolling in PEMS.
Taxonomy Attestation: The centers for Medicare & Medicaid Services (CMS) assigns
NPIs to clinicians through the National Plan and Provider Enumeration System
(NPPES). NPIs are used to track health care providers for billing and quality reporting.
HHSC is asking all providers with Medicaid enrollment to visit NPPES to ensure all
taxonomies used to bill for Medicaid services are attested to the providers’ NPI.

Resources:
More information is available on the TMHP website at
https://www.tmhp.com/news/2021-10-29-coming-soon-tmhp-provider-enrollment-andmanagement-system-pems

Contact:
For any additional questions, please contact the Provider Relations Department at (210)
358-6294 or by email at ProviderRelations@CFHP.com.

We have launched a new secure portal for both Members and Providers! You will need to create a new account to access it. Register now!

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