UnitedHealthcareHigh ImpactAdministrative

Texas Medicaid: CLIA certification must be current and active in PEMS

Published June 3, 2026Effective June 1, 2026

AI Summary

Texas Medicaid now requires all laboratory service providers to upload current CLIA certificates in the state's Provider Enrollment and Management System (PEMS). Claims will be denied starting June 1, 2026 if CLIA certificates are missing, outdated, or not properly reflected in PEMS.

Action Required

Before June 1, 2026: Laboratory billing team must verify CLIA certificate is active and updated in PEMS system. For waived-test-only laboratories, add QW modifier to all claims to prevent processing delays. Between March 1-May 31, 2026, monitor provider remittance advice (PRA) for CLIA certificate notices. Failure to maintain current CLIA certification in PEMS will result in claim denials after June 1, 2026.

Plan Types

Medicaid

States

TX

Specialties

laboratory