Want to make sure you remain enrolled in Texas Medicaid on Sept. 25, 2016? Submit your Medicaid re-enrollment application on or before June 17, 2016.
If your application is submitted after June 17, Texas Medicaid can't guarantee that it will be processed and revalidated by the Sept. 24 deadline, which means you will be dis-enrolled from Texas Medicaid.
More information is available at DADS Texas Medicaid LTSS Provider Enrollment/Re-enrollment webpage.
The Patient Protection and Affordable Care Act (PPACA) requires state Medicaid agencies to revalidate the enrollment of all state Medicaid program providers. The original deadline of March 24, 2016, was extended by CMS to allow states additional time to process provider applications. For Texas Medicaid, this means all providers who have not met all PPACA revalidation requirements must do so through re-enrollment by Sept. 24, 2016.
Questions can be emailed to Texas.Medicaid.Enrollment@dads.state.tx.us.(3/10/2016)
CMS has extended the March 24, 2016, deadline for Medicaid provider re-enrollment to Sept. 25, 2016.
Though this extension gives states additional time to ensure providers comply with Patient Protection and Affordable Care Act (PPACA) requirements, Texas Medicaid encourages all providers who have not yet submitted a re-enrollment application to begin this process immediately to avoid potential payment disruptions. More information about re-enrollment can be found on the DADS website.
Additional information will be announced in the coming weeks to assist providers who are working on the re-enrollment process.
Questions can be emailed to DADS Provider Enrollment Mailbox.(1/15/2016)
The Long-term Services and Supports (LTSS) Texas Medicaid Provider Enrollment Application (Form 3684), and other required forms are now available on DADS Texas Medicaid LTSS Provider Re-enrollment forms page.
Providers who do not bill or do not intend to bill for acute care services through the Texas Medicaid Healthcare Partnership (TMHP) and have an active Medicaid contract with DADS must re-enroll through DADS by March 24, 2016. This includes the following programs and services:
Questions can be emailed to Texas.Medicaid.Enrollment@dads.state.tx.us.(11/13/2015)
DADS Medicaid providers that render services either through Medicaid managed care organizations or traditional fee-for-service Medicaid are required to revalidate their information every 3-5 years. In Texas, the deadline for the next re-enrollment is March 24, 2016.
To help providers better understand this process, DADS has created a Texas Medicaid LTSS Provider Re-enrollment website at http://www.dads.state.tx.us/providers/mpre/. The site includes a mailbox to submit questions and an enrollment FAQ. An application fee schedule, provider risk matrix and the reenrollment application will be added to the site as they become available.
Questions can be emailed to Texas.Medicaid.Enrollment@dads.state.tx.us.(9/3/2015)
The Texas OIG List of Excluded Individuals and Entities (LEIE) website is unavailable until June 22, 2015. DADS providers are required to continue to check the Federal OIG LEIE and attempt to access the State OIG LEIE. The State OIG LEIE screen will return a message, “This site is currently Unavailable, please check back later.” Providers should print this screen, keep it on file, and be sure to check the website again on Monday, June 22, 2015. If the search identifies an excluded individual or entity, please report to HHSC-OIG the identity of the excluded individual or entity and any amount paid to that individual or entity, by accessing the HHSC-OIG self-reporting protocol, Section III. (Unavailable until June 22, 2015).(6/19/2015)
Beginning June 1, 2015, DADS will begin accepting applications from entities requesting an award of CMP funds to fund projects and activities that benefit nursing facility residents.
Federal law (sections 1819 and 1919 of the Social Security Act) allows this use of funds obtained from CMPs imposed by the Centers for Medicare & Medicaid Services.
If you have any questions about this process or alert, please call (512) 438-2626 or send questions to CmpApplication@dads.state.tx.us.(6/2/2015)
Amendments to several sections, new rules, and rule repeals in 40 TAC Chapter 62 have been adopted effective July 1, 2015.
Notice of the adoption was published in the May 22, 2015, issue of the Texas Register.
Questions about this alert can be sent to TAS@dads.state.tx.us.(5/28/2015)
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