Revalidation calendar
Every Texas Medicaid, PECOS, and commercial revalidation deadline tracked and started early.
Texas Credentialing
Texas Medicaid provider enrollment & payer credentialing in Texas.
Enrollment through TMHP (Texas Medicaid & Healthcare Partnership) via PEMS (Provider Enrollment and Management System), CAQH, Medicare PECOS, and Texas commercial payer applications, backed by a revalidation calendar so an enrollment lapse never interrupts your billing.
From application to active panel
- 01
PEMS enrollment
We complete and submit your Texas Medicaid provider enrollment application through TMHP's PEMS portal.
- 02
CAQH ProView profile
Your CAQH profile is built and maintained, since Texas commercial and managed-care plans pull from it.
- 03
Medicare PECOS
PECOS enrollment filed in parallel to keep Medicare billing privileges active.
- 04
STAR-family plan applications
Individual credentialing applications to STAR, STAR+PLUS, and STAR Kids plans in your service area, tracked to completion.
- 05
Revalidation calendar
Every TMHP, PECOS, and plan revalidation deadline logged and started early.
Plan-by-plan enrollment timelines
Typical ranges based on published payer guidance and our enrollment experience. Actual timelines vary by provider type, documentation completeness, and payer backlog.
| Payer | Typical enrollment timeline |
|---|---|
| Texas Medicaid (via TMHP/PEMS) | 45–90 days |
| Medicare (PECOS) | 60–90 days |
| STAR / STAR+PLUS / STAR Kids plans (each) | 60–100 days per plan |
| BCBS of Texas | 90–120 days |
Start 120 days out
Texas enrollment and each payer's credentialing timeline can add up to well past 90 days before a provider bills a full panel. Every week of delay is a week of Texas Medicaidand commercial claims that can't be filed — starting the process 120 days before a provider's start date is what keeps that revenue from being lost outright rather than merely delayed.
CAQH maintenance
Ongoing attestation and document uploads so your CAQH profile never goes stale.
New provider onboarding
Applications started before a new hire's start date so they can bill from day one.
Panel status monitoring
We confirm active status with each plan rather than assuming an application went through.