New Medicaid Enrollment Deadline: Your Questions Asked and Answered

Remember that old adage that the only stupid question is the one not asked? 

Well, with that in mind, the Texas Medicaid & Healthcare Partnership (TMHP) has published frequently asked questions and answers on the new Medicaid enrollment requirements.

What am I talking about?

If you or your practice orders or refers for Medicaid patients — even if you do not otherwise participate in Medicaid, you must enroll in Medicaid before Oct. 1.

OK, so who should enroll?

Enrollment applies to physicians, advanced practice registered nurses, physician assistants, and other health professionals and providers — anybody in your practice who orders or refers for Medicaid patients.

Anybody else?

It also applies to physicians who care only for dual-eligible patients — those who are eligible for Medicare and Medicaid — who order Medicaid-only services for those patients (the requirement does not apply to crossover claims). If that's you, you must enroll as an ordering and referring physician.

And why is that?

Because after Oct. 1, Medicaid patients who attempt to fill a prescription will be unable to do so if the ordering and referring physician or provider is not enrolled. 

Anything else?

You certainly have a lot of questions. Seriously, visit TMHP’s Ordering, Referring, and Prescribing Providers Frequently Asked Questions for information about who, what, when, why, and, of course, how to enroll.

Can't I just talk to somebody?

If you have questions about any of this, call TMHP at (800) 925-9126.

Is that all?

For now, yes.

Action, July 17, 2017

Last Updated On

August 01, 2017

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