Search Results - PEMS

Provider Alert!
08Jun

Provider Alert! Updates and Actions Required for Implementation of PEMS Master Provider File Regarding Address Differences

Date: June 7, 2023 Attention: All Providers Provider Enrollment Management System (PEMS) effective date: October 25, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that the effective date for PEMS is October 25, 2024. The collaborative testing between managed Care Organizations (MCOs) and Health and Human Services Commission (HHSC) determined that there are some providers with mismatched addresses in PEMS. The providers with these mismatched addresses will receive communication from TCHP. How this impacts providers: The communication from...

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19May

Provider Alert! Clarifying Information on Provider Enrollment and Management System (PEMS)

Date: May 18, 2023 Attention: All Providers Master Provider File effective date: To Be Determined Important provider notice: As a reminder, the Provider Enrollment and Management System (PEMS) is the required Texas Medicaid & Healthcare Partnership (TMHP) program which is the single tool for provider enrollment, reenrollment, revalidation, and maintenance requests (maintaining and updating provider enrollment record information) for Texas Medicaid. Clarifying information on PEMS can be found here: https://www.tmhp.com/news/2023-05-16-provider-enrollment-and-management-system-pems-post-deployment-update Providers are strongly encouraged to visit this site for an overview of...

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Provider Alert!
27Apr

Provider Alert! UPDATE: Provider Enrollment and Management System (PEMS) Provider Guidance

Date: April 27, 2023 Attention: All Providers NEW Effective Date: June 30, 2023 Important provider notice: As a reminder, the Provider Enrollment and Management System (PEMS) is the required Texas Medicaid & Healthcare Partnership (TMHP) program which is the single tool for provider enrollment, reenrollment, revalidation, and maintenance requests (maintaining and updating provider enrollment record information) for Texas Medicaid. Accordingly, as an MCO, TCHP will contract, credential and pay only those providers who are properly enrolled with TMHP and whose information is received in...

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Provider Alert!
03Mar

Provider Alert! Provider Enrollment and Management System (PEMS) Master Provider File Launch Date has been Postponed

Date: March 1, 2023Attention: All Providers 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) would like to inform providers that the launch date for the Provider Enrollment and Management System (PEMS) Master Provider File (MPF) and decommissioning of the...

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Provider Alert!
10Feb

Provider Alert! UPDATE: Provider Enrollment and Management System (PEMS) Provider Guidance

Date: February 10, 2023  Attention: All Providers National Provider Identifier (NPI) Master Provider file effective date: March 1, 2023 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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. Important provider notice: As a reminder, the Provider Enrollment and Management System (PEMS) is the required Texas Medicaid & Healthcare Partnership (TMHP)...

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Provider Alert!
16Aug

Provider Alert! UPDATE: Provider Enrollment and Management System (PEMS) Provider Guidance

Date: August 16, 2022 Attention: All Providers Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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. UPDATE on the provider effective dates: Prior to the Provider Enrollment and Management System (PEMS) implementation, the provider billing effective date could be the Medicare enrollment effective date, the provider license...

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Provider Alert!
13Jul

Provider Alert! Provider Enrollment and Management System (PEMS) Provider Guidance

Date: July 7, 2022 Attention: All Providers Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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. TCHP will apply updates and reprocess impacted claims as soon as possible. However, please allow up to sixty (60) business days for reprocessing. Providers are not required to appeal claims unless...

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Provider Alert!
19Nov

Provider Alert! Texas Medicaid and Healthcare Partnership (TMHP) Provider Enrollment and Management System (PEMS)

Date: November 29, 2021 Attention: All Providers Effective Date: December 13, 2021 for PEMS Webinar date: December 7, 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 would like to remind providers that the Texas Medicaid & Healthcare Partnership’s (TMHP) Provider Enrollment and...

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Provider Alert!
12Jan

Provider Alert! Update to Therapeutic Optometry Billing Services for CPT Code 65778

Date: January 12, 2023 Attention: Therapeutic Optometrists Effective: April 11, 2024 Call to action: Effective for dates of service on or after April 11, 2024, therapeutic optometrists are to bill with taxonomy code 152WV0400X (optometry vision therapy) when billing for placement of amniotic membrane on the ocular surface; without sutures, CPT code 65778. Next steps for providers: Providers should verify they are enrolled through Texas Medicaid & Healthcare Partnership (TMHP) under the therapeutic optometry taxonomy with code 152WV0400X in order for claims to process...

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Provider Alert!
22Aug

Provider Alert! Credentialing reminder for PCPs Administering Allergen Immunotherapy Services

Date: August 22, 2023 Attention: Primary Care Providers (PCPs) Call to action: Texas Children’s Health Plan (TCHP) would like to remind Primary Care Providers (PCPs) of the credentialing requirement when administering allergen immunotherapy services. How this impacts providers: Allergy testing and injections will be reimbursed only for PCPs who are credentialed as allergy specialists. An allergist / immunologist (commonly referred to as an allergist) is a physician specially trained to diagnose, treat and manage allergies, asthma and immunologic disorders including primary immunodeficiency disorders. TCHP...

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