HHS Logo [ [link removed] ]

Blue Gradient


Providers Must Disclose in PEMS Whether Their Practice Location Is Physically Accessible to People With Disabilities and If Their Practice Has a Website

Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO. Administrative procedures, such as prior authorization, precertification, referrals, and claims and encounter data filing, may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the member’s specific MCO for details.

Effective November 22, 2024, and mandated by the Consolidated Appropriations Act (CAA), Section 5123, Texas Medicaid providers must disclose whether their practice location is physically accessible to people with disabilities and whether their practice has a website. This applies to all provider types and practice locations.

New fields will be added to the Provider Enrollment and Management System (PEMS) to capture this information. This is applicable for all PEMS request types, including new enrollment, revalidation, reenrollments, existing enrollments, and maintenance.

*PEMS Updates*

The following questions will be added to PEMS for providers to update their demographic information. To navigate to the questions in PEMS:


* Enter a request type of *PEMS Maintenance-Practice Location-Demographics.*
* Go to the Program Specific Questions section of the Programs and Services Participation Details sub-page.
* Select one of the following questions:

* Is your practice location physically accessible to people with disabilities?
* Providers can choose *Yes* or *No *with a radio button to indicate whether the practice location is physically accessible.

*Note:* This does not apply to providers who *ONLY* perform their services through telehealth, telemedicine, and telemonitoring.


* Does your practice have a website?
* If the response is *Yes*, an additional field will appear to enter the website information. If the response is *No*, the additional field for entering website information will not be displayed.

*Timeframe to Complete Demographic Update*

After November 22, 2024, providers will be granted a grace period through June 30, 2025, to update their demographic information in PEMS. After this period, providers will only be able to update the information upon reenrollment or revalidation.

For instructions on updating demographic information, providers can refer to the PEMS Instructional Site [ [link removed] ] and select *Maintenance-Practice Location-Demographics.*

Providers may refer to the "Texas Medicaid Provider Procedures Manual (TMPPM), Section 1: “Provider Enrollment and Responsibilities",” section 1.7, “Provider Responsibilities,” subsection 1.7.2.3, “Online Provider Lookup (OPL)” for additional information.

For more information, call the TMHP Contact Center at 800-925-9126.









________________________________________________________________________

You have subscribed to get updates about Texas Health and Human Services (HHS). For more information about HHS, please visit our website [ [link removed] ].

________________________________________________________________________

Stay Connected Visit us on Facebook [ [link removed] ] Visit us on YouTube [ [link removed] ] Visit us on X [ [link removed] ] Visit us on Instagram [ [link removed] ] Visit us on Facebook [ [link removed] ]  (en español)  

Bookmark and Share [ [link removed] ]

Subscriber Services
Manage Preferences [ [link removed] ]  |  Unsubscribe [ [link removed] ]  |  Help [ [link removed] ]

________________________________________________________________________

This email was sent to [email protected] using govDelivery Communications Cloud on behalf of: Texas Health and Human Services Commission · 707 17th St, Suite 4000 · Denver, CO 80202 GovDelivery logo [ [link removed] ]

body .abe-column-block { min-height: 5px; } table.gd_combo_table img {margin-left:10px; margin-right:10px;} table.gd_combo_table div.govd_image_display img, table.gd_combo_table td.gd_combo_image_cell img {margin-left:0px; margin-right:0px;} table.govd_hr {min-width: 100%;}