Provider Alert! Providers Must Update their Enrollment and Demographic Information with TMHP

Provider Alert!

Provider Alert! Providers Must Update their Enrollment and Demographic Information with TMHP

Date: April 1, 2021

Attention: All Providers

Effective Date: April 1, 2021

Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.

Call to action: Texas Children’s Health Plan (TCHP) encourages network providers to update their enrollment and demographic information with Texas Medicaid Healthcare Partnership (TMHP) beginning April 1, 2021. TMHP is the Health and Human Services Commission’s (HHSC) provider enrollment administrator and authoritative source for enrollment and demographic information. Once demographic and enrollment information is updated with TMHP, this data will be reconciled with information on file with TCHP.

How this impacts providers: Updates to provider’s current enrollment, new practice locations or change of ownership updates, can be made on this site titled “Provider Enrollment on the Portal, A Step by Step Guide”, accessible here: https://www.tmhp.com/sites/default/files/microsites/enrollment/index.html.

For instructions on how to make other demographic updates to your current enrollment, access the document titled “Provider Information Management System (PIMS) User Guide”, accessible here:

https://www.tmhp.com/sites/default/files/file-library/edi/PIMS-user-guide-r2020-11-19.pdf.

Both of these sites are also easily accessible from TCHP’s “For Providers” webpage:

https://www.texaschildrenshealthplan.org/for-providers.

Next steps for providers: Providers should take action on this request as soon as possible to ensure that their enrollment and demographic information is updated with TMHP and reconciled with their contracted MCOs.

If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.
For access to all provider alerts, log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers

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