Texas HHS Consolidating Provider and Enrollment Processes Into New System by 2020

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Into New System by 2020

The Texas Health and Human Services Commission (HHSC) is getting ready to roll out its new provider and enrollment system. By consolidating and replacing some processes and systems, the new Provider Management and Enrollment System (PMES) will reduce administrative burden for providers.

The following processes and systems will be consolidated into the PMES system:

  • Manual enrollment processes

  • Texas Medicaid Healthcare Partnership (TMHP) systems

  • Long Term Care

  • Vendor drug program

  • HHSC long term services and supports

  • Medical transportation program

PMES Rollout Timetable and Feedback Opportunity

Throughout 2019, the HHSC will be preparing for a March 2020 implementation of the new system:

  • May: Provider collaboration and feedback opportunities

  • October: User testing

  • November: User training

  • By March 2020: Fully operational

Providers are encouraged to submit feedback about their needs through the implementation period at this link:  https://www.surveymonkey.com/r/X3G2V6J

Benefits of New PMES System for Providers

  • Single system to manage information even for providers with different lines of business. Easier to update information and renew enrollment.

  • Online “smart” application – providers apply for multiple programs once. Only relevant fields that must be completed will be shown.

  • Timeline shortened for enrollment and revalidation. Real-time workflows and electronic validations will reduce submission processing cycles. PMES will issue status alerts and automatic reminders.

  • Read more about the PMES system in this HHSC fact sheet.

Let Us Manage All Your Payer Enrollment and Credentialing Services

If you require medical credentialing and payer enrollment needs for your practice or medical facility, please contact 1st Assistant. Our experienced and dedicated specialists will provide all credentialing and enrollment services quickly and will monitor your account for ongoing updates and re-attestations. Heidi Henderson, our company owner and President, is eager to meet you and discuss your payer enrollment needs. Please call us at 512.201.2668 or contact us via the website.