UnitedHealthcareHigh ImpactAdministrative

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

Published April 1, 2026Effective June 1, 2026

AI Summary

Texas Medicaid now requires all laboratory service providers to maintain current and active 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 Claims will be denied starting June 1, 2026 if CLIA certificates are missing, outdated, or not reflected in PEMS.

Action Required

By May 31, 2026: Laboratory billing team must verify CLIA certificate is active and updated in PEMS before submitting any laboratory claims. Add QW modifier to claims if laboratory is certified only for waived tests. Update billing software to include CLIA verification step. Claims will be denied starting June 1, 2026 if CLIA certificate is missing, outdated, or not reflected in PEMS.

Plan Types

Medicaid

States

TX

Specialties

laboratory, all-specialties