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Texas MedicaidMedicaid · Administrative · General · TXHigh impact

HTW Providers to Recertify in PEMS Starting November 1, 2026

Act
by Dec 31, 2026
Effective date
Nov 1, 2026
Identified
Oct 10, 2026

Summary

Healthy Texas Women (HTW) providers must complete annual recertification through the Provider Enrollment and Management System (PEMS) between November 1, 2026, and December 31, 2026, to maintain HTW certification for program year 2027. Failure to recertify by the December 31, 2026 deadline will result in HTW certification expiration, leading to claim denials and non-reimbursement for all HTW services.

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What to do

by Dec 31, 2026 · 4 steps
01HTW-participating providers must complete recertification in PEMS through the TMHP provider web page (My Account) to maintain active HTW certification for 2027.
02Billing team should: (1) identify all active HTW providers in the practice; (2) ensure providers access PEMS and complete HTW attestation recertification; (3) verify and update demographic and account information for each location site; (4) confirm that Find a Doctor search tool information is current and matches PEMS data.
03Failure to complete by the deadline will result in HTW certification expiration, causing Texas Medicaid to deny all HTW claims and refuse reimbursement for HTW services provided.
04Contact TMHP Contact Center at 800-925-9126 (option 5) for recertification assistance.

Original notice

HTW Providers to Recertify in PEMS Starting November 1, 2026
tmhp.com · Always check the source before changing claims.
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