COVID-19 Updates

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As a Dell Children’s Health Plan provider, we value your role in providing quality healthcare to your patients, our members. Our role as a health plan is to provide you with the tools and resources you need to be successful.

If you cannot find what you need here on our website, please get in touch. You can contact our Provider Engagement Department by email.

Provider Portal

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Important Phone Numbers

  • Behavioral Health Care: 888-821-1108
  • Disease Management Department: 888-830-4300
  • Member Services: 888-596-0268 TTY 711
  • Navitus (Pharmacy Benefit Manager): 877-908-6023
  • Provider Services (Claims Status, Eligibility & Benefits): 888-821-1108
    • Monday through Friday from 7 a.m. to 7 p.m. Central time
  • Provider Relations Department: 512-324-3125
  • Superior Vision of Texas: 800-879-6901
  • Utilization Management Department: 888-821-1108

Please click here if you would like to become a provider with us.

Important Links

Pharmacy

Prior Authorizations

Provider Notices and Reminders

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HHSC Notifications

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To Providers: Please update your enrollment and demographic information with TMHP (Texas Medicaid Healthcare Partnership). TMHP is HHSC’s provider enrollment administrator and serves as the authoritative source for HHSC Providers’ enrollment and demographic information. Once you update your enrollment and demographic information with TMHP, your data will be reconciled with the demographic information on file with the MCOs. To make updates to your current enrollment (e.g., new practice locations or change of ownership updates), please access the web page titled “Provider Enrollment on the Portal – A Step-by-Step Guide” at the following URL:

https://www.tmhp.com/sites/default/files/microsites/enrollment/index.html

For instructions on how to make other demographic updates to your current enrollment, please access the document titled “Provider Information Management System (PIMS) User Guide” at the following URL:

https://www.tmhp.com/sites/default/files/file-library/edi/PIMS-user-guide-r2020-11- 19.pdf

Otherwise, you can contact TMHP directly at 800-925-9126 for assistance.