7000, Medicaid Provider Enrollment

Revision 22-2; Effective April 1, 2022

All HHSC FPP contractors must enroll as Medicaid (Title XIX) providers with Texas Medicaid & Health Care Partnership (TMHP). The contractor must complete the required Medicaid provider enrollment application forms and enter into a written provider agreement with HHSC, the single state Medicaid agency. TMHP Provider Enrollment supplies these forms.

Family planning agencies do not have to enroll as a physician group, which includes an application for performing provider number. To enroll as a family planning agency, all that is needed is a supervisory practitioner. The supervisory practitioner may be a physician or nurse practitioner and may be the same person for all clinic sites. Changes in supervisory practitioner must be reported in writing to TMHP. An application must be submitted for the new supervisory practitioner.

When enrolling as a Title XIX provider, Clinical Laboratory Improvement Amendments (CLIA) information must be provided. For public health agencies that provide limited numbers of tests, one CLIA certificate is all that is required for all clinics. For more information, requirements and responsibilities, refer to: