Magellan Healthcare
Provider Focus Newsletter
News & information for Magellan network providers

region/plan-specific news : Commercial Health Plans - excluding California

Texas providers: Complete Medicaid enrollment revalidation

The Texas Health and Human Services Commission (HHSC) has asked managed care organizations, including Magellan,* to help providers complete Medicaid enrollment revalidation.

Why this matters

If you provide services in Magellan’s Texas Medicaid network for Dell Children’s Health Plan members, you must revalidate your enrollment with HHSC through the Texas Medicaid & Healthcare Partnership (TMHP) Provider Enrollment and Management System (PEMS).

This applies to solo practitioners, group practices, and facilities.

Magellan manages behavioral health, substance use disorder, and Senate Bill 58 services for Dell Children’s Health Plan STAR and CHIP members, along with autism services for STAR members.


Take action now

Avoid payment interruptions by completing your TMHP revalidation as soon as possible.

Quick tips from TMHP

  • Enroll and revalidate through the TMHP PEMS system.
  • Verify your email address in the Provider Information tab to receive important updates.
  • Check your revalidation date in your PEMS dashboard or Provider Information tab.
    • Revalidation is complete only when your status shows “Closed–Enrolled.”
  • Submit early — you can begin 180 days before your due date.

Access helpful resources from TMHP


Stay compliant. Stay current.

Complete your revalidation before your enrollment period ends, and keep your license, certification, and demographic information up to date.

Visit tmhp.com or call 1-800-925-9126 for help.

 

*Magellan Providers of Texas, Inc. is an affiliate of Magellan Health, Inc. (collectively “Magellan”).

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About Provider Focus

Welcome to Provider Focus, our award-winning e-newsletter for network providers! Here you’ll find articles and information to keep you up-to-date on news and topics relevant to serving Magellan members, including a section for regional- and plan-specific news. Check back as a new issue is released each quarter.

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