Complete These Steps

Submit your Letter of Interest (LOI) on the Community Health Choice Provider Portal Join CHC Network page.

Before you Begin

If you are a Medicaid provider enroll using the Provider Enrollment Management System PEMS.

Update National Plan and Provider Enumeration System NPPES information to match PEMS.

Additional Information

• If you are currently part of an IPA, PHO or Academic Medical Practice, please contact that organization to determine if they currently have an agreement in place with Community.
• Once reviewed and approved, Network Development will submit your information to the credentialing verification office (CVO), Verisys.
• Verisys will contact the Provider to initiate the credentialing process, accept the credentialing application, and conduct primary source verification (PSV).
• Upon complete credentialing and full execution of contract documents, the Network Development Department will send a welcome letter with the effective date of participation, along with the fully executed contract.
• Important Providers not Participating with Medicaid:Please ensure that your Council for Affordable Quality Healthcare CAQH attestation was completed within the last 90 days to avoid any delays in the credentialing process.

Helpful Resources

To 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. The TMHP Provider Enrollment webpage can be accessed at the following URL: https://www.tmhp.com/topics/provider-enrollment

To make updates to your current enrollment (e.g., new practice locations or change of ownership updates), please access the Provider Enrollment and Management System (PEMS) web page at the following URL: https://secure.tmhp.com/pems

The Step-by-Step Guide” can be accessed at the following URL: https://www.tmhp.com/topics/provider-enrollment/pems/start-application

• This page includes step-by-step instructions for maintenance requests as well as new enrollment, existing enrollment, revalidation, and reenrollment. Select the link under Existing Enrollment to access instructions for adding new practice locations or to submit a change of ownership. Select the link under Maintenance to access instructions for updating demographic data.
• This page also provides links to the Enrollment Help page and the TMHP YouTube channel.
• The TMHP YouTube channel has a playlist dedicated to PEMS. The playlist can be accessed here: https://youtube.com/playlist?list=PLIe60BLvrbETbsHtKqwWrcvMmJ_6MH9n-&si=zHCYzyE5iqBYh7kR
• Additional provider enrollment help can be found here: https://www.tmhp.com/topics/provider-enrollment/provider-enrollment-help
• Otherwise, you can contact TMHP directly at 800-925-9126 for assistance.

If you have any questions, please contact Provider Services at 713.295.2295 or toll-free at 1.888.760.2600.