What’s New
Effective May 11, 2023, the Health and Human Services Commission (HHSC) will end the flexibility of extended Medicaid provider revalidation dates due during the COVID-19 Public Health Emergency (PHE).
Revalidation Helpful Information or Tips
Grace Period
- Per federal guidance, providers that were due for revalidation effective March 1, 2020, through May 11, 2023, will receive a post PHE grace period to complete the revalidation process.
- NOTE: Texas Medicaid and Healthcare Partnership (TMHP) will notify you in March 2023 of your recalculated enrollment end date and again 120 days prior to your Medicaid provider enrollment end date.
Process and Submission
- You can visit Provider Enrollment and Management System (PEMS) to view and confirm your revalidation date and enrollment information. You are strongly encouraged to avoid potential enrollment delays by submitting revalidation applications as soon as possible within the 120-day window.
- If you are revalidating an existing enrollment continue to submit claims to meet their timely filing requirements while your revalidation is being processed.
- You can also refer to the current Texas Medicaid Provider Procedures Manual, General Information, Section1, Provider Enrollment and Responsibilities, for more information.
Missed Deadline
If you do not complete the revalidation process by your deadline, you will be disenrolled from all Texas state health care programs, and all claims and prior authorization requests submitted after the revalidation deadline will be denied.
Questions
Providers, for questions or additional information, please:
- Contact your BCBSTX Medicaid Network team at 1-855-212-1615 or
- Submit via email Texas Medicaid Network Department