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 https://www.tmhp.com/topics/provider-enrollment.

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

https://www.tmhp.com/topics/provider-enrollment/pems/start-application

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.