State communications and resources
We work with the Texas Health and Human Services Commission and other state organizations to provide our members with quality services.
State communications
Documents
- House Bill 12 Postpartum Medicaid and CHIP Coverage Extension
- COVID-19 end of PHE
- HHSC MCS ABA Family flyer - English
- HHSC MCS ABA Family flyer - Spanish
- Changes for Client Access to Mosquito Repellent Benefit
- Help Youth Formerly in Foster Care Maintain Their Medicaid
- Healthy Texas Women (HTW) Plus Services Available September 1, 2020
- Healthy Texas Women Needs New Providers
- How to Submit a Complaint as a Medicaid Provider
- Health Alert: Recommendations for Healthcare Personnel Evaluating Patients for Possible 2019 Novel Coronavirus (2019-nCoV) Infection
- Congenital Syphilis Health Advisory
- Tobacco Cessation Benefits in Medicaid & CHIP
- Public Health Notice About Severe Lung Disease Among Persons Who Report Vaping
- Deactivated NCCI MUE Limitations for Substance Use Disorder Treatment and Breast Pump Replacement Parts
- Updated Limitation for Zika Virus Testing Effective July 1, 2019
- Tobacco Use Cessation Services Provided in a Group Setting
- Delegated Psychological Services to Allow More Than One Modifier on the Same Date of Service Effective July 1, 2019
- Smoking and Tobacco Use Cessation Counseling Benefits to Change for Texas Medicaid on May 1, 2019
- Neonatal Level of Care Designation Required for Hospital Providers Rendering Neonatal Inpatient Services
- Postpartum Depression Screening for Texas Health Steps
- Mental Health Screenings to Change for Texas Health Steps
- Medical Fraud Provider Notice
- HHSC Notice - MDCP Loss of Eligibility
- HHSC STAR Kids Member Assessment Information Update
- THSteps Doc Improvement Letter
- THSteps Clinical Record Review Tool
- THSteps Clinical Record Review Tool and Instructions
Local and state resources
Providers: Please update your enrollment and demographic information with TMHP (Texas Medicaid & Healthcare Partnership)
TMHP is HHSC’s provider enrollment administrator and serves as the authoritative source for HHSC providers’ enrollment and demographic information. Once you update your enrollment and demographic information with TMHP, your data will be reconciled with the demographic information on file with the MCOs.
Contact TMHP directly for assistance:
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub
- Learn about Availity
- Precertification Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Provider Manuals and Guides
- Referrals
- Forms
- Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)
Interested in becoming a provider in the Wellpoint network?
We look forward to working with you to provide quality services to our members.
Join our network