The Texas Medicaid Provider Portal, managed by the Texas Medicaid & Healthcare Partnership (TMHP), is a comprehensive online platform designed to support healthcare providers participating in Texas Medicaid programs. This essential digital resource streamlines provider interactions, offering efficient tools for managing patient care and administrative tasks.
Official Links
What Providers Can Do
The provider portal offers multiple critical functionalities:
- Provider Enrollment: Complete and manage provider registration
- Claims Management: Submit and track medical claims
- Prior Authorization: Process and review service authorizations
- Electronic Data Interchange (EDI): Submit electronic claims and receive payments
- Provider Lookup: Access comprehensive provider resources
- Fee Lookup: Check current Medicaid reimbursement rates
Access and Login
TexMedConnect
Providers can access the portal through TexMedConnect, the primary system for:
- Account management
- Online services
- Provider information updates
Account Requirements
- Active Texas Medicaid provider credentials
- Verified professional credentials
- Completed registration process
Key Features
Virtual Assistant Support
- Meet “Elsie”, TMHP’s virtual assistant
- Provides immediate help and guidance
- Accessible through the portal
Recent Updates
- User account management
- Revalidation processes
- Procedure code updates
- Claims processing information
Privacy and Security
The portal emphasizes robust security protocols:
- Encrypted data transmission
- Strict access controls
- Compliance with HIPAA regulations
- Regular security assessments
Important Security Notice
Users acknowledge:
- No privacy rights within the system
- Potential monitoring of system access
- Potential legal consequences for unauthorized use
Provider Resources
- Online provider manuals
- Educational training materials
- Quick reference guides
- Quarterly code and rate updates
Contact and Support
Provider Relations
- Multiple contact channels
- Dedicated support for inquiries
- Comprehensive help desk services
Emerging Technologies
New for 2025
- Enhanced virtual assistant capabilities
- Streamlined electronic claims processing
- Improved user interface
Billing and Payments
The portal facilitates:
- Electronic claims submission
- Payment tracking
- Reimbursement rate verification
Limitations and Considerations
Providers should note:
- JavaScript must be enabled
- Regular credential revalidation
- Compliance with AMA/ADA licensing agreements
The Texas Medicaid Provider Portal represents a critical digital infrastructure supporting healthcare professionals in delivering efficient, compliant Medicaid services across Texas.
Disclaimer
Information current as of August 2025, subject to Texas Health and Human Services updates.
https://www.tmhp.com/
The Texas Medicaid & Healthcare Partnership provides the resources to help providers succeed with their Medicaid practice.
https://www.hhs.texas.gov/services/health/medicaid-chip
Medicaid and the Children’s Health Insurance Program (CHIP) provide health coverage for low-income children, families, seniors and people with disabilities.