← Back to list
Certain Providers Must Revalidate Under CMS Revalidation Initiative
Act
by Oct 31, 2026
Effective date
Oct 31, 2026
Identified
Oct 24, 2026
Summary
Texas Medicaid (TMHP) is implementing a CMS-mandated provider revalidation initiative requiring certain Texas Medicaid providers to revalidate their enrollment by June 5, 2028. TMHP will notify affected providers by October 31, 2026, and providers must complete revalidation with no extensions available or face disenrollment from Texas Medicaid and associated state health care programs.
Get alerts when payers change rules like this one
We check Texas Medicaid and other payers every day and email you when a change matches your specialty and state.
Get Texas Medicaid alertsPolicy Monitoring is free. No card required.
What to do
by Oct 31, 2026 · 9 steps
01Verify whether your practice receives a revalidation notification from TMHP through PEMS, physical letter, or email.
02Before June 5, 2028: All affected providers must complete revalidation by the specified due date to avoid disenrollment.
03Immediate actions for billing/administrative team.
04Ensure primary and secondary email addresses are current in PEMS to receive notifications.
05Monitor PEMS Revalidation Due Dates column for individual provider due dates, which may differ from the June 5, 2028 deadline.
06Begin revalidation up to 180 days before the due date and respond to TMHP reminders sent at 180, 120, 90, and 45 days before the deadline.
07Verify that revalidation application status shows 'Closed-Enrolled' in PEMS—submission alone does not prevent disenrollment.
08If disenrolled for missing the deadline, submit a reenrollment application through PEMS.
09Consequences: Failure to complete revalidation by the due date will result in automatic disenrollment from Texas Medicaid and all associated state health care programs, with no extensions available.
Original notice
Certain Providers Must Revalidate Under CMS Revalidation Initiative
tmhp.com · Always check the source before changing claims.