Roll-Out Schedule for Provider Enrollment and Management System (PEMS)
Schedule
Effective Sept. 1, 2021 providers will participate in a soft launch of PEMS based on provider interest for the following programs:
- Children with Special Health Care Needs- Family Support Services (CSHCN-FSS)
- Kidney Health Care (KHC)
- Long-term services and supports (LTSS)
Starting Sept. to Nov. 2021, Texas Medicaid & Healthcare Partnership (TMHP) will begin testing PEMS process in a test environment to practice enrollment and record management task for:
- Acute Care and long-term care providers
By Dec. 13, 2021, all providers will use PEMS. Prior to implementation HHSC and TMHP will post the upcoming changes, including provider training and resources.
About PEMS
PEMS will remove the requirement of the use of paper forms and will automate and streamline the National Provider Identifier (NPI) enrollment.
The new system will be the single tool for:
- Enrollment
- Re-Enrollment
- Revalidation
- Maintenance requests (maintaining/updating provider enrolment record information).
Once implemented, PEMS will replace both Provider Enrollment on the Portal (PEP) and the Provider Information Management System (PIMS).
Additional Information
For more information please email: providerenrollmentmanagementsystems@hhs.texas.gov
The above material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider.
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