Out of Network Provider Enrollment
If a Provider or Facility is not a contracted Provider, the Provider/Facility must contact the El Paso Health Contracting and Credentialing Department regarding set up.
Out of Network Providers may submit the Provider Demographic Form and W-9 and Texas Provider Identifier (TPI) Letter via email to Contracting_Dept@elpasohealth.com or by fax to 915-298-7870.
To be reimbursed for services rendered to Medicaid Members, Provider must be enrolled in Texas Medicaid. If an Out of Network Provider does not have a TPI number, the provider will not be eligible for reimbursement for services to a member participating in the STAR Medicaid Program. An Out of Network Provider must notify the El Paso Health Contracting and Credentialing Department of the TPI assignment through a formal written notification which may be the Texas Medicaid & Healthcare Partnership (TMHP) approval letter.
Out of Network Providers are subject to non-participating provider authorization and reimbursement guidelines.
For more information, please reference the Provider Manual, Out of Network Provider-Texas Provider Identifier.