New Texas Medicaid Re-enrollment Guidance

The Centers for Medicare and Medicaid Services (CMS) recently extended the Medicaid provider re-enrollment deadline from March 24, 2016 to Sept. 24, 2016 to allow states additional time to process applications. In an effort to ensure Texas Medicaid complies with the federal requirement, HHSC has established a plan to provide assurance to providers that they will meet this deadline.

To avoid potential disruption in payment, a complete re-enrollment application must be received on or before June 17, 2016 in order to be revalidated by Sept. 24, 2016. Complete applications that are received on or before June 17, 2016, will most likely complete the re-enrollment process by Sept. 24, 2016. In the event that the re-enrollment process is not completed by Sept. 24, 2016, and the provider is still working toward addressing identified deficiencies at that time, the provider will continue to remain enrolled in Texas Medicaid as long as the provider responds to the deficiency notifications within the defined time frame for response. Enrollment is contingent upon continuing to meet deficiency correction timelines and receiving final application approval. Providers are encouraged to submit their applications today.

For complete details, please visit: http://www.hhsc.state.tx.us/medicaid/re-enrollment/index.shtml