Texas Medicaid
Credentialing and enrollment guides for Texas Medicaid across 1 states.
Quick Overview
Timeline
30 - 90 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
1
About Texas Medicaid
Texas HHSC — Texas Medicaid
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete Texas Medicaid's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Texas Medicaid. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-90 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Texas Medicaid?
Our specialists handle the entire Texas Medicaid enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Background Check
CV/Resume
FINGERPRINT_CLEARANCE
Required for some provider types
Malpractice Insurance
Required in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
Texas Medicaid Provider Enrollment (TMHP)
Contact Information
Provider Credentialing
1-800-925-9126
Mon-Fri 8am-5pm
Provider Services
1-800-925-9126
Claims & Billing
1-800-925-9126
Quick Links
Available States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for Texas Medicaid-specific credentialing details including timelines, contacts, and local requirements.
Texas Medicaid credentialing requirements by state
Texas Medicaid enrollment is not identical everywhere. The table below lists what actually differs across the 1 state Texas Medicaid operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | State-specific notes |
|---|---|---|---|
| Texas | Open | 30–90 days | Texas Medicaid (STAR/CHIP) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the HHSC (Health and Human Services Commission) portal managed by TMHP (Texas Medicaid & Healthcare Partnership) as fiscal agent. (3) Submit application with TX state license, proof of malpractice insurance, and required documentation. (4) Background check including DPS and federal criminal history is required for all providers. Texas operates managed care through multiple MCOs per service area under STAR, STAR+PLUS, STAR Kids, and STAR Health programs. Behavioral health providers accepted include LPC, LCSW, LMFT, and Licensed Psychologist with active Texas licensure; providers must enroll separately with each MCO. Revalidation is required every 5 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about Texas Medicaid credentialing
How long does Texas Medicaid credentialing take?
Texas Medicaid credentialing typically takes 30–90 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Texas Medicaid require CAQH?
No. Texas Medicaid does not enroll through CAQH ProView, so credentialing data is submitted directly on Texas Medicaid's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does Texas Medicaid operate in?
Texas Medicaid has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.