Physicians have an extra six months to reenroll in Medicaid, thanks to lobbying from TMA and organized medicine. The Centers for Medicare & Medicaid Services has extended the deadline for most physicians to reenroll in Medicaid to Sept. 25. The initial deadline for reenrollment, driven by a provision in the Affordable Care Act, was March 24. Texas Medicaid officials say they "encourage all providers who have not yet submitted a reenrollment application to begin this process immediately to avoid potential payment disruptions." TMA also has been urging Texas physicians to get ahead of the complex process.
The Texas Health and Human Services Commission and the Texas Medicaid and Healthcare Partnership (TMHP) have improved the electronic enrollment portal to make it easier for doctors to complete the reenrollment process. (Physicians newly enrolling in Medicaid can also use the portal.) The enhancements apply to applications submitted through the TMHP website on or after April 26, 2015.
The improved electronic application process allows you to:
- Upload supporting documentation;
- Sign the enrollment agreement electronically (e-sign);
- Receive guidance as you work on the application and see more accurate error messages to avoid mistakes;
- Receive instruction on how to upload documents and submit the application using an e-signature; and
- Expedite processing of your application by reducing the need for printing and mailing documents.
For physicians currently enrolled in Medicaid, the portal will pre-populate the application with demographic data pulled from the physician's current account.
To be considered fully reenrolled by the Sept. 25 deadline, physicians must receive verification from TMHP that the application has been approved before that date. It currently takes about 32 days for applications to be processed. Thus, physicians should reenroll early to avoid gaps in enrollment. The reenrollment requirement also applies to physician assistants and advanced practice registered nurses.
To use the online application, you must have a TMHP user account and a user name (portal user ID).
Refer to the TMHP Website Security Provider Training Manual for instructions on activating a TMHP user account. For more information about Medicaid provider reenrollment, visit the TMHP provider reenrollment page.
Action, Feb. 1, 2016
Last Updated On
May 13, 2016