Need a Prior Authorization?
Welcome, Texas Healthcare Providers
Contracted providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.
As our partner, assisting you is one of our highest priorities. We welcome your feedback and look forward to supporting all your efforts to provide quality care.
If you have any questions, or if you are not currently a Molina provider, but are interested in contracting with us, please call Molina Texas Provider Services at (855) 322-4080. You can also complete a Contract Request Form and send it to Molina by following the instructions at the top of the form.
Provider Quick Links
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Provider Notices and Reminders
STAR Member Rights and Responsibilities
STAR+PLUS Member Rights and Responsibilities
CHIP Member Rights and Responsibilities
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Prior Authorizations
Molina Telehealth Policy
Important Web Links
Texas Health and Human Services Commission (HHSC)
Texas Health Steps Provider Information
Texas Medicaid and Healthcare Partnership (TMHP)
STAR+PLUS Nursing Facility Unit Rates
Texas Medicaid /CHIP Vendor Drug Program
To access the Texas Medicaid Formulary and the Preferred Drug List from HHSC’s website:
Texas Medicaid FormularyPreferred Drug List
TMHP Enrollment and Demographic Information Update
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 here. 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. The Step-by-Step Guide 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. Additional provider enrollment help can be found here. Otherwise, you can contact TMHP directly at (800) 925-9126 for assistance.
Do you need to add, terminate, or make demographic changes to an existing Provider in your group?
Please notify Molina Healthcare at least 30 days in advance when you:
- Change office location, hours, phone, fax, or email.
- Add or close a location.
- Add or terminate a provider.
- Change in Tax ID and/or NPI.
- Open or close your practice to new
patients (PCPs only).
Complete the 'Change of Information Form', which can be found on the 'Molina Healthcare of Texas Frequently Used Forms' page, and submit your changes to MHT.PIM@molinahealthcare.com.
HHSC CHIP Information
HHSC has posted information at https://hhs.texas.gov/services/health/
medicaid-chip/provider-information/chip-perinatal-coverage/chip-perinatal-faqs that MCOs can use to respond to questions from members. Please bookmark this page, as there will be updates in the future.
