Texas Medicaid Provider Portal: Secure Access for Healthcare Professionals

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Healthcare providers in Texas now have a powerful digital tool to streamline their Medicaid-related operations. The Texas Medicaid & Healthcare Partnership (TMHP) Provider Portal offers a comprehensive online platform designed to enhance efficiency, communication, and service delivery for medical professionals across the state.

Official Links

What is the Provider Portal?

The TMHP Provider Portal is a centralized digital platform that enables healthcare providers to:

  • Manage patient information
  • Submit claims
  • Check eligibility
  • Access provider resources
  • Conduct electronic transactions

Who Can Use the Portal?

The portal is designed for:

  • Medicaid providers
  • Healthcare professionals
  • Medical facilities in Texas
  • Providers serving Texas Medicaid clients

Access and Login

While specific login details were not fully available in the source documents, providers typically need to:

  • Create an account on the TMHP website
  • Have valid credentials
  • Enable JavaScript in their browser

Important Note

The portal requires JavaScript to be enabled for full functionality.

Key Features and Services

Based on the TMHP website, providers can access:

  1. Program Information
  • Texas Medicaid
  • Long-Term Care (LTC)
  • Children’s Health Insurance Program (CHIP)
  • Healthy Texas Women (HTW)
  1. Provider Resources
  • Electronic Data Interchange (EDI)
  • Provider Enrollment
  • Online Fee Lookup
  • Provider Education and Training
  1. Additional Services
  • Medical Transportation Program
  • Vendor Drug Program
  • Electronic Visit Verification (EVV)

Privacy and Security

TMHP emphasizes strict security protocols:

  • Government information system
  • Monitored access
  • Security assessments
  • Compliance with legal standards

Security Warning

Users acknowledge they have:

  • No privacy expectation
  • Consent to system monitoring
  • Potential legal consequences for unauthorized access

Customer Support

While specific contact details were limited, providers can:

  • Use the “Contact Us” section on TMHP website
  • Utilize the new virtual assistant “Elsie”
  • Check the provider relations resources

Billing and Payments

The portal offers various billing-related features:

  • Claims submission
  • Online fee lookup
  • Reimbursement tracking

Upcoming Changes and Updates

Recent news highlights include:

  • User account deactivations
  • Revalidation date extensions
  • Procedure code updates
  • Benefit modifications

Unprovided Information

Some details were not explicitly available in the source documents, including:

  • Exact login procedure
  • Comprehensive feature list
  • Specific support contact numbers

The Texas Medicaid Provider Portal represents a crucial digital tool for healthcare professionals, offering streamlined access to essential services and resources.

Recommendations

  • Ensure JavaScript is enabled
  • Regularly check for updates
  • Familiarize yourself with portal features
  • Maintain robust security practices

Disclaimer: Information is current as of August 2025 and subject to change. Always verify details directly with TMHP.

FAQ

Is there a Medicare portal for providers?

AI Overview
    • PECOS (.gov)
      https://pecos.cms.hhs.gov
      Welcome to the Medicare Provider Enrollment, Chain, and Ownership …
      Welcome to the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) JavaScript must be enabled in your internet browser for PECOS to work properly.

    • Noridian Medicare Portal
      https://www.noridianmedicareportal.com
      Home – Noridian Medicare Portal – Noridian Medicare Portal

    • Palmetto GBA
      https://palmettogba.com
      eServices Portal – Railroad Providers – Palmetto GBA
      May 28, 2025 — While there is no limit to the number for files that can be attached to the form, the combined size of all attachments cannot exceed 150 MB in size.

    • Palmetto GBA
      https://palmettogba.com
      Jurisdiction M Part B – eServices Portal – Palmetto GBA
      Palmetto GBA is pleased to offer eServices, our free Internet-based, provider self-service portal. The eServices application provides information access over th…

    • PECOS
      https://pecos.cms.hhs.gov
      Welcome to the Provider Resources

    • Centers for Medicare & Medicaid Services | CMS (.gov)
      https://www.cms.gov
      Manage Your Enrollment – CMS
      Jul 29, 2025 — Get Started With PECOS PECOS is the online Medicare enrollment management system which allows you to: Enroll as a Medicare provider or supplier. Rev…

What Medicare does Texas use?Residents of Texas have various options for Medicare, including Original Medicare, Medicare Advantage, and Medicare Part D. Medicare plans in Texas follow all federal guidelines for healthcare coverage for people ages 65 years or older or who have qualifying disabilities or medical conditions.

Is Wellcare of Texas Medicare?Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor.

How do I contact Medicare provider services?1-800-MEDICARE (1-800-633-4227)

For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

https://www.novitas-solutions.com/webcenter/portal/Novitasphere_JH/Home

Providers in AR, CO, LA, MS, NM, OK, TX, Indian Health & Veteran Affairs. searchbutton_icon. JH Home Person(s) with Medicare, |, Corporate Site. JH.

https://www.tmhp.com/

The Texas Medicaid & Healthcare Partnership provides the resources to help providers succeed with their Medicaid practice.

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