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Collaborative testing between Texas Health and Human Services Commission (HHSC) and Managed Care Organizations (MCOs) has identified Provider address differences between the MCOs ecosystem and the Master Provider File (MPF) extracted from Provider Enrollment and Management System (PEMS).

Key Details:

The Texas Medicaid & Healthcare Partnership (TMHP) is requesting Providers review and update practice addresses within the Provider Enrollment and Management System (PEMS). PEMS conveniently provides all the tools you need for program enrollment, attestation, and managing provider information. Please note that the new PEMS go-live date is set for September 30, 2024.

For additional details, visit the PEMS Instructional Site. 

https://www.tmhp.com/topics/provider-enrollment/pems/start-application

RESOURCES

Next steps for Providers: 

Providers should share this communication with their staff.

Community First Resources:

Contact:

Email ProviderRelations@cfhp.com or call 210-358-6294.

Beginning September 1, 2024 Community First Health Plans, Inc. will be adding STAR+PLUS to its line of health care products.

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