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.

2021 Provider Directory

 

Need a Prior Authorization?

* When Prior Authorization is 'Required', click here to create Service Request/Authorization

PA Lookup tool is under maintenance.

Please refer to the state specific Excel matrix while the PA Lookup Tool is disabled.

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. To make updates to your current enrollment (e.g., new practice locations or change of ownership updates), please access the web page titled "Provider Enrollment on the Portal - A Step-by-Step Guide". For instructions on how to make other demographic updates to your current enrollment, please access the document titled "Provider Information Management System (PIMS) User Guide". 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 Provider Roster Template, which can be found under 'Forms' in the Provider Portal, and submit your changes to MHUPIM@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.

Providers: The Long-Acting Reversible Contraceptive (LARC) Provider Resource Toolkit is available here