July 2017

TMHP Enrollment Due by December 31 to Continue Receiving Reimbursements for CHIP Services

Federal law and regulation require states to screen and enroll all network providers, including Children's Health Insurance Program (CHIP) providers, by December 31, 2017. To meet this requirement and continue receiving reimbursement for services, Medicaid providers who currently render services to CHIP members through a managed care organization must complete enrollment with the Texas Medicaid & Healthcare Partnership (TMHP) by December 31, 2017.

While the enrollment process and application are the same for Medicaid and CHIP providers, CHIP-only providers are not required to participate in Texas Medicaid. CHIP-only providers must follow these instructions to indicate they intend to only serve CHIP members and to ensure that they do not appear on the Medicaid online provider lookup.

Note: CHIP providers actively enrolled with TMHP as a Medicaid provider do not need to repeat the enrollment process to continue receiving reimbursement for CHIP services.