Application Type - Welcome Texas Medicaid Providers TMHP 2025

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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Most Texas Medicaid and CHIP members receive their services through a managed care organization (MCO). The four main Medicaid programs are: STAR, STAR Health, STAR Kids and STAR+PLUS.
Texas Healthcare Programs CHIP Perinate: CHIP and CHIP RSA: STAR (Medicaid) and STAR MRSA: STAR+PLUS (Medicaid): STAR Kids (Medicaid): STAR Health (Medicaid): STAR+PLUS Medicare-Medicaid Plan (MMP): Wellcare by Allwell (Medicare Advantage) :
How soon will I know if I qualify for Texas Medicaid or CHIP? Texas Health and Human Services usually will let you know in 45 days or less. If you or your child has a disability that is included on the application, Texas Health and Human Services might take up to 90 days to get back to you with a decision.
Call 800-925-9126, Option 1 to check claim status, client eligibility, benefit limitations, current weekly payment amount, and claim appeals.
Texas Medicaid Healthcare Partnership (TMHP) processes claims for Medicaid services provided in the traditional, fee-for-service system. TMHP does not process claims for services provided by Medicaid managed care organizations (MCOs) or dental maintenance organizations (DMOs).
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People also ask

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 complete the enrollment process. Resources for enrollment: TMHP provider enrollment representative at 800-925-9126, Option 3.

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