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

region/plan-specific news : Commercial Health Plans (outside California)

Billing Medicaid for services to BCBS TX members?

Ensure your service location is enrolled in PEMS.

If you are part of Magellan’s network for Texas Medicaid, you must also be enrolled in Texas Medicaid to be eligible for reimbursement.

To comply with this state and contractual requirement, use the online Provider Enrollment and Management System (PEMS) tool to enroll each of your service locations with the State at

A step-by-step guide regarding PEMS can be found by accessing the Texas Medicaid & Healthcare Partnership (TMHP) website:

You may also contact TMHP for assistance by calling 1-800-925-9126, option 3.

Failure to enroll your service location address(es) may result in your removal from Magellan’s Texas Medicaid network. 

If you have questions or concerns regarding this communication, you can contact our Provider Services Line at 1-800-788-4005.

Thank you for complying with this requirement and for caring for Magellan members.


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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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