MedicaidAdministrativeHigh impact
Action Required: State of Texas Electronic Provider System (STEPS) Cost Report Deadlines Are Approaching
Texas Medicaid·TX·System Updates
Effective date
Mar 2, 2026
We identified it
Apr 24, 2026
Summary
Texas has launched the new STEPS electronic system for Medicaid cost report submissions, with multiple cost report types already open and deadlines approaching. Healthcare providers must register in STEPS and ensure their PEMS email addresses match to access required cost reports.
Action Required
Immediately: Texas providers must register in the State of Texas Electronic Provider System (STEPS) via IAMOnline to access required Medicaid cost reports that opened March 2, 2026. Verify that your Primary Entity Contact (PEC) email address in PEMS matches the email used for STEPS registration - HHSC cannot make this update for you. Complete mandatory cost report training and submit applicable cost reports based on your service types. Contact TMHP at (800) 925-9126 for PEMS issues or use STEPS live support at 1-737-86-STEPS for system problems.