The Texas Medicaid & Healthcare Partnership (TMHP) Provider Portal represents a critical digital platform designed to streamline administrative processes for healthcare providers participating in Texas Medicaid programs. This comprehensive online system offers healthcare professionals a centralized hub for managing their Medicaid practice efficiently and securely.
Official Links
What Providers Can Do
Healthcare professionals using the TMHP Provider Portal can access a wide range of essential services, including:
- Provider enrollment and management
- Electronic claims submission
- Prior authorization requests
- Verify client eligibility
- Access provider manuals and resources
- Submit and track revalidation applications
Who Can Use the Portal
The portal is designed for:
- Medicaid providers
- Long-term care services providers
- Pharmacy service providers
- Ordering and referring providers
- Managed care organizations
Access and Authentication
To access the TMHP Provider Portal:
- Visit the TMHP website
- Use the Provider Enrollment and Management System (PEMS)
- Complete the required enrollment process
Enrollment Requirements
- Complete online application through PEMS
- Provide necessary documentation
- Obtain National Provider Identifier (NPI)
Key Features
Provider Enrollment
- Online application submission
- Electronic document management
- Streamlined credentialing process
Revalidation Process
- Required every five years
- Electronic submission through PEMS
- Recommended to submit 120 days before enrollment period ends
Privacy and Security
The TMHP Provider Portal emphasizes robust security measures:
- Secure https connection
- Government-level encryption
- Monitoring for unauthorized access
- Compliance with HIPAA regulations
Support and Resources
Contact Information
- TMHP Provider Enrollment Representative: 800-925-9126 (Option 3)
- Email support for general questions
- Virtual assistant “Elsie” available for immediate help
Recent Updates
As of August 2025, notable updates include:
- Inactive user accounts will be deactivated
- Second revalidation due date extension
- Ongoing procedure code updates
- Enhanced virtual assistant services
Unprovided Information
Some specific details were not available in the source documents, such as:
- Exact step-by-step login process
- Detailed app download instructions
- Comprehensive feature list
The TMHP Provider Portal offers Texas Medicaid healthcare providers a secure, efficient platform for managing their professional responsibilities, ensuring streamlined administrative processes and enhanced service delivery.
Disclaimer
Information is current as of August 2025 and subject to change. Always verify the most recent guidelines directly with TMHP.
FAQ
What is TMHP in Texas Medicaid?
How can I check my Texas Medicaid status?
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Log in to your account and navigate to “Manage,” then “Medicaid & CHIP Services,” then “View Services and Available Health Information,” and finally, the “Cards” tab.
What is the best Medicaid provider in Texas?
| Rating | Plan Name | Consumer Satisfaction |
|---|---|---|
| 3.0 | Community First Health Plans, Inc. | I |
| 3.0 | Molina Healthcare of Texas, Inc. | 3.0 |
| 3.0 | SHA, LLC dba FIRSTCARE | 3.5 |
| 2.5 | Parkland Community Health Plan | 4.0 |
How to become a Medicaid transportation provider in Texas?
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You can enroll online through the TMHP website or by downloading the application form. The application includes terms, conditions, and responsibilities for Medicaid providers.
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2. Complete the PAT Exam:Pass the Provider Applicant Competency (PAT) exam with a minimum score of 85%.
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3. Meet NEMT Requirements:
- Understand State Licensing and Certification: Research the specific licensing and certification requirements for NEMT providers in Texas.
- Apply for a License/Certification: Follow the application process for your chosen business entity type.
- Ensure Vehicle Safety: Your vehicles must meet all state and federal safety standards.
- Obtain Necessary Insurance: Secure commercial auto insurance and liability coverage.
- Understand State Licensing and Certification: Research the specific licensing and certification requirements for NEMT providers in Texas.
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4. Consider Business Structure:Decide on the legal structure of your business (e.g., sole proprietorship, LLC).
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5. Acquire Necessary Tools:Invest in delivery management software and other essential tools for your business.
https://www.tmhp.com/
You, your employees and agents are authorized to use CPT only as contained in materials on the Texas Medicaid & Healthcare Partnership (TMHP) website solely
https://www.hhs.texas.gov/providers/medicaid-business-resources/medicaid-chip-enrollment-revalidation
To begin the enrollment, visit the TMHP How to Apply for Enrollment webpage . All providers will use the Provider Enrollment and Management System (PEMS) to