All PlansAdministrativeMedium impact
Critical Incident Management System is Now Live and Accessible Through Texas Health and Human Services Commission’s IAMOnline
Texas Medicaid·TX·System Updates
Effective date
Jul 27, 2026
We identified it
Jul 28, 2026
Summary
Texas Health and Human Services Commission has launched the Critical Incident Management System (CIMS), a new system now live and accessible through the IAMOnline portal for all Texas healthcare providers. Billing teams must register for access through IAMOnline and refer to Information Letters 2026-19 and 2026-21 for transition details, system navigation, and training requirements.
Action Required
Immediately: Billing team and all clinical staff must register for access to the Critical Incident Management System (CIMS) through HHSC's IAMOnline portal. Review Information Letters 2026-19 and 2026-21 for complete transition guidance and system requirements. Designate staff to complete available training through the learning portal (available at HHSCCIMSSupport@deloitte.com or 866-898-5022). Update internal workflows and documentation procedures to align with CIMS requirements. Contact MCS_CIMS@hhs.texas.gov with program-specific questions and Enterprise Service Desk (512-438-4720 or 855-435-7181) for portal access issues. Failure to implement CIMS may result in inability to report critical incidents as required by Texas regulations.