Provider Alert! Provider enrollment revalidation extension has ended

Date: March 29, 2022

Attention: All providers

Effective Date: March 29, 2022

The extension for revalidation due dates for currently enrolled providers ended on February 28, 2022 as announced by the Health and Human Services Commission (HHSC).

TCHP COVID-19 Utilization Management Procedure and provider alerts can be found here: http://www.thecheckup.org/provider-alerts/

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 Medicaid Healthcare Partnership’s (TMHP) has ended the extended deadline for provider enrollment revalidation. Providers currently enrolled in Medicaid can view their revalidation status on the Provider Enrollment Management System (PEMS).

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

How this impacts providers: According to TMHP, “Providers should submit their Revalidation applications at least 120 days before the end of their enrollment period so that the Revalidation process can be completed before the enrollment period ends.” This application is available here, https://www.tmhp.com/topics/provider-enrollment/pems/npi-type-and-program-selection. Providers who do not submit the Revalidation application by the Revalidation Due Date must submit a Reenrollment application.” This application is available here, https://www.tmhp.com/topics/provider-enrollment/pems/npi-type-and-program-selection.

Next steps for providers: Texas Medicaid providers should confirm their current enrollment information in the Provider Enrollment Management System (PEMS) prior to submitting their revalidation application. This can be completed at this site https://www.tmhp.com/topics/provider-enrollment/pems/npi-type-and-program-selection.

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.