Providers

You can contact us at 915-532-3778 or toll free at 1-877-532-3778. Provider Relations Department Representatives can be reached during the hours of 8:00 a.m. –5:00 p.m. Mountain, Monday thru Friday.
To join our network, visit our Contracting and Credentialing page.
Click here to visit the Texas Medicaid and Healthcare Partnership website.
Click here to visit the Texas Health and Human Services Commission website.
Contact Provider Relations for:
- Changes in address locations
- Name changes
- Billing company changes
- NPI/TPI updates
- Phone and fax updates, etc.
- Any changes you consider we may need in order to update our system and your records.
Provider Updates
- Feb 21.2023.Reminder_PCP Provider Performance Improvement Projects(PIPs)
- Feb 16.2023.CLIA Certification Required for Claims
- Feb 1.2023.Updated COVID 19 Waiver of CHIP Co Payments_Extension through April 30 2023
- Feb 1.2023.Updated COVID_19 Telemedicine,Telehealth & Telephone Services (Medical Services)_Extension thru April 30, 2023
- Jan 27.2023.Diabetic Equipment and Supplies Benefits Change for Texas Medicaid
- Jan 27.2023.COVID-19 Vaccine Administration Procedure Codes 0164A and 0173a are Now Medicaid and CHIP Benefits
- Jan 20.2023.Reminder SHP Analytics Provider Survey
- Dec 27.2022.Reminder Happy Birthday Postcards
- Dec 22.2022.Prohibition of Cost Sharing for COVID-19 Vaccine Treatment and Testing Services
- Dec 2.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through January 31, 2023
- Dec 2.2022.Updated COVID_19 Telemedicine, Telehealth and Telephone Services (Medical Services)_Extension thru January 31, 2023
- Nov 21.2022.Thanksgiving Holiday Office Closure and Check Run Schedule
- Nov 03.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through November 30, 2022
- Nov 03.2022.Updated COVID_19 Telemedicine, Telehealth & Telephone Services (Medical Services)_Extension thru November 30, 2022
- Nov 01.2022.Change to Signature Requirement for Title XIX (Medicaid) Home Health Services
- Oct 27.2022.EPH-PR-Prior Authorization Update Criteria for Adakveo J0791 eff 12/01/2022
- Oct 17.2022.EPHMADSNP_Reminder Update Certify NPI via NPPES
- Oct 03.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through October 31, 2022
- Oct 03.2022.Updated COVID_19 Telemedicine, Telehealth & Telephone Services (Medical Services)_Extension thru October 31, 2022
- Sept 29.2022.COVID-19 Procedures Codes 0124A 0134A Benefits for Medicaid CHIP
- Sept 22.2022.MCO COVID-19 Vaccine Admin Procedure Codes Age Changed to 12 Years of Age or Older
- Sept 12.2022.Reminder -Benefit Criteria to Change for Vaccine Services Effective 09012022
- Sept 1.2022.Telemedicine and Telehealth Benefit Information
- Sept 1.2022.Updated COVID_19 Telemedicine, Telehealth & Telephone Services (Medical Services)_Extension thru September 30, 2022
- Sept 1.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through September 30, 2022
- Aug 2.2022.COVID-19 Vaccine Administration Procedure Codes 0091A 0092A and 0093A Are Now Benefits for Medicaid and CHIP
- Aug 2.2022.MCO CPW Carve In Effective 09012022
- Aug 2.2022.MCO ET3 Effective september 09012022
- Jul 22.2022.BEHAVIORAL HEALTH PROVIDER TRAINING INVITE
- Jul 12.2022.MCO Notice COVID-19 Moderna Vaccine Admin Codes 0011A, 0012A, 0013A, Age Expansion for Medicaid and CHIP
- Jul 12.2022.EPH-PR-Reminder- Federal Entitlement to Medicaid and Early Childhood Intervention ECI Services
- Jul 06.2022.PCP Providers – Quality Performance Improvement Project Interventions
- Jul 06.2022.OB Providers – Quality Performance Improvement Project Interventions
- Jun 30.2022.Updated COVID19 Waiver of CHIP Co Payments_Extension through August 31, 2022
- Jun 30.2022.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru August 31st , 2022
- Jun 01.2022.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru June 30th and August 31st, 2022
- Jun 01.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through June 30, 2022
- May 27.2022.Changes for Client Access to Mosquito Repellent Begin 06012022
- May 20.2022.El Paso Health is proud to introduce its two new CEOs.
- May 2.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through May 31, 2022
- May 2.2022.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru May 31st (Medical) and August 31st (BH)
- May 2.2022.COVID-19-THSteps Recipient Reminder Letters for Telemedicine through the end of the Public Health Emergency
- May 2.2022.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_through the end of the Public Health Emergency
- April 20.2022.PCP PROVIDER QTR ORIENTATION APR INVITE
- April 20.2022.CHIP Co-Payments Prohibited for MS-SUD Outpatient & Residential Services
- April 04.2022.Important THSteps updates
- March 31.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through April 30, 2022
- March 31.2022.Systems Outage notification scheduled for 4.2.2022
- March 23.2022.El Paso Health Website New Design
- March 10.2022.Abbott Recall of Similac, Alimentum and EleCare Powdered Formulas
- Feb.28.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through March 31, 2022
- Feb.04.2022.Synchronous Audio-Visual PT OT and ST Evaluation and Treatment Telehealth Services
- Feb.04.2022.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru April 30, 2022
- Feb.01.2022.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_ April 30, 2022
- Feb.01.2022.Updated COVID 19 Waiver of CHIP Co Payments_Extension through February 28, 2022
- Feb.01.2022.COVID-19_HHSC Provider Enrollment Revalidation Extension to End on February 28, 2022
- Dec.31.2021.Updated_COVID-19_HCO Telemedicine Telephone Services
- Dec.31.2021.OB Providers-Quality Performance Improvement Project Interventions
- Dec.31.2021.PCP-Providers – Quality Performance Improvement Project Interventions
- Dec.31.2021.El Paso Health Speech Therapy Providers_EPH Literacy Program
- Dec.30.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_ Janaury 31, 2022
- Dec.30.2021.COVID-19-THSteps Recipient Reminder Letters for Telemedicine_January 31, 2022
- Dec.30.2021.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_January 31, 2022
- Dec.30.2021.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru January 31, 2022
- Dec.16.2021.THSteps Audit Request for SY 2022 due December 31, 2021
- Dec.02.2021.Upcoming PEMS Webinar Scheduled for December 7th
- Dec.01.2021.Updated_COVID-19_HCO Telemedicine Telephone Services
- Dec.01.2021.COVID-19-THSteps Recipient Reminder Letters for Telemedicine_December 31, 2021
- Dec.01.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_December 31, 2021
- Dec.01.2021.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru December 31, 2021
- Dec.01.2021.Updated_Telehealth Services for OT, PT, and ST Providers_December 31, 2021
- Dec.01.2021.Updated COVID 19 Waiver of CHIP Co Payments_Extension through January 31, 2022
- Dec.01.2021.5004_CHIP Co Pay Attestation
- Nov.10.2021.Revised EVV Policy Handbook Now Available
- Nov.10.2021.Coming Soon TMHP Provider Enrollment and Management System
- Nov.10.2021.CDC Recommends Pfizer COVID Vaccine for Ages 5-11
- Nov.05.2021.Provider Enrollment Revalidation Extensions End 02/28/2022
- Oct.25.2021.Reminder_Guidance for Non-LMHA Providers of MH_TCM_Rehab Services Provider Type
- Oct.21.2021.PCP Provider Quarterly Orientation Invite
- Sept.29.2021.Synagis Season 2021-2022
- Sept.28.2021.Updated COVID 19 Waiver of CHIP Co Payments_Extension through October 31, 2021
- Sept.28.2021.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_December 31, 2021
- Sept.28.2021.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru December 31, 2021
- Sept.28.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_December 31, 2021
- Sept.28.2021.COVID-19-THSteps Recipient Reminder Letters for Telemedicine_December 31, 2021
- Sept.03.2021.Hurricane Ida Information for Medicaid Providers
- Aug.27.2021.Updated COVID 19 Waiver of CHIP Co Payments_Extension through September 30, 2021
- Aug.27.2021.Updated COVID_19 Telemedicine Telehealth & Telephone Services_Extension thru September 30, 2021
- Aug.27.2021.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_Extension until rescinded
- Aug.27.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_September 30, 2021
- Aug.27.2021.COVID-19-THSteps Recipient Reminder Letters for Telemedicine_September 30, 2021
- Aug.18.2021.INVITE OB Provider Specialty Training
- Aug.08.2021.EP-PR-A Call to Action Improving Maternal Health Outcomes in Texas
- Aug.08.2021.EPH-PR-Home Health Care Services Required to Use EVV by Jan 1 2023
- Jul.28.2021.URGENT TX Guidance in Response to Phillips Recall of Respiratory Devices
- Jul.28.2021.Updated COVID 19 Waiver of CHIP CoPayments_Extension through August 31, 2021
- Jul.28.2021.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru August 31, 2021
- Jul.28.2021.COVID-19-THSteps Recipient Reminder Letters for Telemedicine thru August 31, 2021
- Jul.28.2021.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_Extension until rescinded
- Jul.28.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_August 31, 2021
- Jul.01.2021.THSteps-Policy Changes-Developmental Mental Health Screenings
- Jul.01.2021.Perinatal Mood Disorders 2021
- Jun.30.2021.COVID-19-THSteps Recipient Reminder Letters for Telemedicine thru July 31, 2021
- Jun.30.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_July 31, 2021
- Jun.30.2021.Updated COVID 19 Waiver of CHIP Co Payments_Extension through July 31, 2021
- Jun.30.2021.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_Extension until rescinded
- Jun.30.2021.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension thru July 31, 2021
- Jun.14.2021.2021 HIV Prevention in Healthcare Webinar Learning Series
- Jun.14.2021.PCP Provider Quarterly Orientation Invite
- May.27.2021.Updated COVID-19 Waiver of CHIP Co Payments – Extension through June 30, 2021
- May.27.2021.Updated COVID-19 Waiver of CHIP Co Payments – Extension through June 30, 2021
- May.27.2021.Updated COVID-19 EPH-Telehealth Services for OT, PT, and ST Providers – Effective until rescinded
- May.27.2021.Updated COVID-19 Telemedicine, Telehealth & Telephone Services – Extension through June 30, 2021
- May.27.2021.Updated COVID-19 THSteps Medical Checkup Restrictions via Remote Delivery-Extension through June 30, 2021
- May.27.2021.Updated COVID-19_THSteps Recipient Reminder Letters for Telemedicine
- May.27.2021.COVID-19 Vaccine and Administration Procedure Codes for 12 Years and Older
- May.05.2021.EPH-PR-Non-Emergency Medical Transportation (NEMT)_Access2Care_Effective June 1 2021
- Apr.30.2021.Updated COVID-19 Waiver of CHIP Co Payments_Extension through May 31, 2021
- Apr.30.2021.Updated COVID-19 Telemedicine, Telehealth & Telephone Services_Extension through May 31, 2021
- Apr.30.2021.Updated_EPH-Telehealth Services for OT, PT and ST Providers_Extension until rescinded
- Apr.30.2021.COVID-19-THSteps Recipient Reminder Letters for Telemedicine thru May 31, 2021
- Apr.30.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery May 31, 2021
- Apr.9.2021.EPH-PR New DSHS COVID-19 Vaccine Resource for Members and Providers
- Apr.5.2021.Guidance on Asthma Education Coverage in Medicaid and CHIP
- Mar.31.21. REMINDER _ Process for Standard PA with Incomplete Insufficient Documentation
- Mar.30.21.Updated COVID 19 Waiver of CHIP Co Payments_Extension through April 30, 2021
- Mar.30.21.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_Extension until rescinded
- Mar.30.21.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension through April 30, 2021
- Mar.30.21.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_April 30, 2021
- Mar.17.21.Telemonitoring Benefits to Change for Texas Medicaid March 1 2021
- Mar.15.21.Appointment Availability Standards_Primary Care Providers(PCP)
- Mar.5.21.Process for Standard PA with Incomplete Insufficient Documentation
- Feb.24.21.COVID-19-THSteps Recipient Reminder Letters for Telemedicine
- Feb.24.21.Updated COVID 19 Waiver of CHIP Co Payments Extension through March 31, 2021
- Feb.24.21.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery March 31, 2021
- Feb.24.21.Updated_ EPH-Telehealth Services for OT, PT, and ST Providers _ Extension until rescinded
- Feb.24.21.COVID-19-THSteps Recipient Reminder Letters for Telemedicine
- Feb.19.21.Electronic Remittance Advice Available for A 6-Month Period
- Feb.3.2021.THSteps Recipient Reminder Letters for Telemedicine
- Jan.29.2021.Updated COVID19 Waiver of CHIP Co Payments_Extension through February 28, 2021
- Jan.29.2021.Updated COVID_19 Telemedicine, Telehealth & Telephone Services_Extension through February 28, 2021
- Jan.29.2021.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_Extension through February 28, 2021
- Jan.29.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_February 28, 2021
- Jan.25.2021.Updated_COVID-19_HCO Telemedicine Telephone Services
- Jan.21.2021.Updated COVID 19 Prior Authorization Guidance_Extension through Dec 31, 2020
- Jan.21.2021.Updated COVID 19 Waiver of CHIP Co Payments_Extension through January 31, 2021
- Jan.21.2021.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_ Extension through January 31, 2021
- Jan.21.2021.Updated COVID_19 Telemedicine, Telehealth Telephone Services_Extension through January 31, 2021
- Jan.21.2021.Updated_EPH-Telehealth Services for OT, PT, and ST Providers_Extension through January 31, 2021
- Jan.8.2021.Prior Authorization for Standard Deliveries is Not Required
- Jan.5.2021.HHSC Flu Covid Education Webinar
- Dec.22.2020.Covid-19 Vaccine Administration Education Information
- Dec.18.2020.Updated COVID 19 Waiver of CHIP Co Payments Extension through Jan 21, 2021
- Dec.18.2020.Updated COVID_19 Telemedicine, Telehealth & Telephone Services Extension through Jan 21, 2021
- Dec.18.2020.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery_Extension through Jan 21, 2021
- Dec.18.2020.Updated EPH-Telehealth Services for OT, PT, and ST Providers Extension through Jan 21, 2021
- Dec.17.2020.EPH-PR-Healthy Texas Women Program Launches Enhanced Postpartum Care Services
- Dec.17.2020.EPH-PR-Reminder DME Exceptional Circumstance
- Nov.25.2020.Updated COVID 19 Waiver of CHIP Co Payments Extension through Dec 31, 2020
- Nov.25.2020.Updated COVID_19 Telemedicine, Telehealth & Telephone Services Extension through Dec 31, 2020
- Nov.25.2020.Updated EPH-Telehealth Services for OT, PT, and ST Providers Extension through Dec 31, 2020
- Nov.25.2020.Updated COVID 19 Prior Authorization Requests Extension through Dec 31, 2020
- Nov.25.2020.Updated COVID_19 THSteps Medical Checkup Restrictions via Remote Delivery Extension through Dec 31, 2020
- Nov.24.2020.Holiday Office Closure and Check Run Schedule
- Oct.29.2020.HHSC 2020 COVID-19 Impact Survey -Your Participation Matters
- Oct.26.2020.Updated COVID 19 Prior Authorization Requests Extension through Nov 30, 2020
- Oct.26.2020.Updated COVID 19 Waiver of CHIP Co Payments Extension through Nov 30, 2020
- Oct.26.2020.Updated EPH-Telehealth Services for OT, PT, and ST Providers Extension through Nov 30,2020
- Oct.26.2020.Updated COVID-19 Telemedicine, Telehealth & Telephone Services Extension through Nov 30, 2020
- Oct.26.2020.Updated COVID-19 THSteps Medical Checkup Restrictions via Remote Delivery Extension through Nov 30, 2020
- Oct.20.2020.Pediatric Brain Health Summit Nov 5-6 2020
- Oct.13.2020.Hurricanes Delta and Laura Information for Medicaid Providers
- Oct.12.2020.New Value Point of Origin for Admission Visits Code G
- Sept.15.2020.Hurricane Laura Information for Texas Medicaid Providers
- Sept.1.2020.COVID -19 _Medicaid_CHIP Provider Releif Funding Deadline on 09132020
- Jan.13.2020.MLK Observance Day Checkrun
- Jan.7.2020.Opiod Treatment Providers May Submit Texas Medicaid Enrollment Applications
- Dec.30.2019.Outpatient Behavioral Health Benefits No Longer Require Prior Authorization
- Dec.19.2019.Holiday Check Run Schedule
- Nov.25.2019.Holiday Check Run Schedule
- Nov.15.2019.El Paso Health App
- Nov.7.2019.Texas Health Steps DSHS Laboratory Web Portal Unavailable
- Oct.16.2019.Health Advisory Syphilis Mandated Testing
- Oct.16.2019.2019-2020 Synagis Season
- Oct.4.2019.Texas Medicaid Medication Assisted Treatment Benefits to Change 11/01/2019
- Sept.16.2019.2019 El Paso Health (EPH) Provider Survey
- Aug.16.2019.HHSC Health Alert-Severe Lung Disease Among Persons Who Report Vaping
- Jul.1.2019.Texas Health Steps Quick Reference Guide Updated June 2019
- June.2019.THSteps_QRG Update
- June 13, 2019.Delegated Psychological Services to Allow More Than One Modifier on the Same Date of
Service - June 13, 2019.Updated Limitation for Zika Virus Testing
- June.13.2019.Tobacco Use Cessation Services Provided in Group Setting
- Jun.10.2019.HHS Civil Rights and HIPAA Training on June.25.2019
- Apr.18.2019.Course on Multidisciplinary Approach to Frenectomy
- Apr.18.2019.Course on Multidisciplinary Approach to Frenectomy
- Apr.18.2019.Office Closure Memo
- Mar.29.2019.Reminder STAR and CHIP Value-Added Services
- Mar.29.2019.Writing Functional Therapy Goals Webinar and QA Now Available
- Mar.28.2019.Texas Health Steps Quick Reference Guide Updated for March 2019
- Mar.1.2019.Texas Health Steps Quick Reference Guide
- Mar.1.2019.Electronic Remittance Advice (835) Request Form _ Payer Identification (003) Memo
- Mar.1.2019.Neonatal Emergency Billing Address Requirement
- Jan.23.2019.Webinar on Writing Functional Therapy Goals
- Feb.7.2019.Behavioral Health Appointment Availability Memo
- Jan.18.2019.Webinar on Writing Functional Therapy Goals
- Nov.30.CHIP PA Notification and Timeline
- Nov.29.2018.Electronic Remittance Advice
- Nov.7.2018.Reminder Benefit Changes for HHSC Family Planning Program and Healthy Texas Women Program
- Nov.6.2018.Updated Demographic Form
- Oct.12.2018.STAR – CHIP Prior Authorization Flyer
- Oct.24.2018.Scheduled Maintenance for Prior Authorization Fax Server
- Oct.5.2018.Electronic Fund Transfer (EFT) Deposits
- Sept.11.2018.BRCA and Genetic Testing PA Requirements
- Sept.10.2018.Wraparound Training Website for TCM and MH
- Sept.2018.Medivengers Registration Invite
- Aug.30.2018. Quarterly Provider Orientation Q4SFY18
- Aug.9.2018.Neonatal LOC Designation Effective 09012018
- July.19.2018.Therapy Monitoring Memorandum
- July 2018 Reminders THSteps QRG_Domestic Substance Abuse_WIC
- May.24.2018.Behavioral Health Specialty Provider Training INVITE
- EPH-PR-Member Rosters Available on Web Portal tracking
- April.11.2018.Member Rosters Available on Web Portal
- April.2.2018.TAHP Availity Provider Trainings
- Mar.1.2018.CVO Provider Presentation
- Feb.27.2018.Health X Scheduled Maintenance
- Feb.2.2018.Mayo Clinic Physician Diversity Summit 2018
- Jan.9.2018.Project ECHO Integrating Mental Health in the Primary Care Setting
- Jan.2018.Annual Notice to Providers
- Dec.7.2017.Reminder of Medicaid Newborn Hearing Screening Benefits
- Dec.07.2017.Private Duty Nursing Benefit Language Clarified for Texas Medicaid EFF 01.01.2018
- Dec 5 2017 THSteps Child Developmental Screening and Surveillance Web Training
- Nov.16.2017.PA Immunization Memo 110117
- Oct 13 2017 Upcoming TMHP CHIP Provider Enrollment Webinar
- Oct.13.2017.Synagis Season 2017-2018
- Oct.11.2017.Blue Button Available
- Oct.10.2017.Delayed ORP Enrollment Notification
- Oct 6 2017 Flu Season 2017-2018
- Sept.13.2017.Zika Care Connect Resources for Providers
- Sept.12.2017.Sports Physical Value Add Update
- Sept.9.2017.Medicaid Breastfeeding Support Services Change
- Sept.5.2017.Provider Overpayment Reporting
- Sept.2.2017.Place of Service Changes for ST-OT-PT
- Sept.1.2017.Sports Physical Value Add
- Aug.24.2017.Website Update Memo
- Aug.17.2017.Claims Must Include the NPI of the Ordering or Referring Provider
- Aug.17.2017.Pharmacogenetics Benefit Changes
- July.31.2017.Changes to PT OT ST Therapy Benefit 09012017
- July.31.2017.ECI Changes to PT OT ST Therapy Benefit Changes
- July.21.2017.El Paso Health Provider Notification
- July.3.2017.Therapy Assistant Rate Reduction Effective December 1 2017
- June 30 2017 THSteps Therapeutic Dental Benefits to Change for Texas Medicaid
- June.2.2017.Texas Clinicians Postpartum Depression Toolkit
- June.2.2017.Ordering Referring Provider Enrollment Requirement
- June.1.20.17.Zika Virus Testing Requires Modifier U4 on Claims
- May.31.2017.Current CHIP Providers Must Complete Enrollment with TMHP
- May.31.2017.Therapy Assistant Rate Reduction Effective July 1 2017
- April.26.2017.Mosquito Repellent Benefit for Zika Virus Prevention Renewed
- Mar.24.2017.HPV PA Update
- Mar.24.2017.Microsurgery Add On Procedure Code 69990 No Longer Requires PA
- Feb.21.2017.FIRSTCALL Provider Fax Blast
- Feb.2.2017.Prior Authorization Level 4 Deep Sedation General Anesthesia with Therapeutic Dental Treatment
- Jan.13.2017.HCPCS Updates for Texas Medicaid for PT and OT Services
- 12.15.16.Outpatient Mental Health Services to Change for Texas Medicaid
- 12.13.16.Launch of New El Paso First Web Portal
- 12.13.16.Reimbursement Rate Changes for Texas Medicaid Therapy PT OT ST EF
- 12.21&22.16.New Web Portal Training Invite
- 11.30.16.Mosquito Repellent Benefit Memo
- 11.08.16.Holiday Check-Run Schedule
- 11.17.16. MHRTCM Authorization Form Update Nov 2016
- 11.10.16 Web Portal Training POSTPONED on 11.15.16 and 11.17.16
- 11.07.16.New Web Portal Training Invite
- 10.11.16.Synagis Notification
- 10.1016.Provider Medicaid Re-enrollment Deadline
- 2nd Postpartum Payment Memo EFF 11.07.16
- Flu Shot Memo 10.04.16
- UPDATED-OB Ultrasounds Exceeding Four No Longer Require Prior Authorization EFF 10.02.16
- OB Ultrasounds Exceeding Four No Longer Require Prior Authorization Memo EFF 09 02 16
Quarterly Provider Orientations
- 11378-5 PCP PROVIDER QTR ORIENTATION.pdf
- Feb.16.2023.PCP PROVIDER QTR ORIENTATION
- Oct.21.2022.PROVIDER ANCILLARY TRAINING OCT 27th INVITE
- Aug.25.2022.PCP Provider Orientation Slides
- July.28.2022.OB Provider Orientation Slides
- May.26.2022.BEHAVIORAL HEALTH_Orientation Slides
- Apr.28.2022.Ancillary Provider Training
- Apr.15.2022.THSteps Training
- Apr.13.2022.External Medical Review (EMR) Provider Training
- Mar.24.2022.PCP_Final Orientation Slides
- Feb.16.2022.Autism Services ABA Provider Training 02-2022
- Aug.15.2019.OB Provider Specialty Training Q4SFY19
- May.9.2019.Provider Quarterly Orientation Q3SFY19
- Apr.4.2019.Behavioral Health Specialty Training Presentation
- Apr.4.2019.Behavioral Health Specialty Training INVITE
- Jan.31.2019.Quarterly Provider Orientation Q2SFY19
- Nov.8.2018.Ancillary Provider Specialty Training
- Aug.30.2018. Quarterly Provider Orientation Q4SFY18
- Aug.30.2018 Provider Quarterly Orientation Invite Q3SFY18
- April.5.2018.OB Specialty Provider Training Q3SFY18
- May.24.2018.Behavioral Health Provider Specialty Training Q3SFY2018
- April.5.2018.OB Provider Specialty Training INVITE
- Feb.1.2018.Provider Quarterly Presentation Q2SFY18
- Feb.1.2018.Provider Quarterly Orientation INVITE Q2SFY18
- Nov.2.2017.Quarterly Provider Orientation Presentation
- Sept.28.2017.Ancillary Specialty Training
- Nov.2.2017. Provider Quarterly Orientation INVITE Q1SFY17
- Sept.28.2017.Ancillary Specialty Training INVITE Q1SFY18
- Aug.31.207.Provider Quarterly Orientation Q4FY17 INVITE
- July.27.2017.Behavioral Health Provider Specialty Training Q4SFY17
- July.27.2017.Behavioral Health Provider Specialty Training INVITE Q4SFY17
- May.11.2017.Provider Quarterly Orientation Q3SFY17
- May.11.2017.Provider Quarterly Orientation INVITE
- April.6.2017.OB Specialty Training Presentation
- April.6.2017.OB Provider Specialty Training INVITE 040617
- Feb.23.17.Ancillary Provider Training Presentation Q2SFY17
- Jan.26.2017.Provider Quarterly Orientation Presentation Q2SFY17
- Jan.26.2017.Provider Quarterly Orientation Invite
Provider Quality Information
An authorization is required for all inpatient admissions, outpatient procedures, all out- of-area and out-of-network services and other services as defined by El Paso Health, with the exception of family planning services. For a list of procedures requiring authorization please refer to the Pre-Authorization Flyer.
You can find all the necessary forms in our Provider Forms page.
If you have a complaint, you can submit it to the El Paso Health Provider Care Unit at 915-532-3778 or toll free at 1-877-532-3778 You can also send us an email at Complaints_Appeals_Unit@elpasohealth.com or send us a fax at 915-298-7872.
The HHSC mailbox for provider complaints is: HPM_Complaints@hhsc.state.tx.us.
Providers can submit a claim appeal by contacting us at:
Phone: 915-532-3778 or toll free at 1-877-532-3778
Email: Complaints_Appeals_Unit@elpasohealth.com
Fax: 915-298-7872
In the event a Provider becomes aware of an overpayment prompt notification shall be reported to El Paso Health. Overpayments shall be returned within 60 days from date of reporting to El Paso Health. In the event overpayment is not received, El Paso Health will proceed to recoup the overpayment from the provider. For reporting please utilize your web portal account quick links Provider Overpayment Reporting tab, email Provider_Overpayments@elpasohealth.com or contact the Provider Care Unit (PCU) at 915-532-3778 x 1504 or toll free 1-877-532-3778.
Proficiency in cultural competency is demonstrated when Providers acknowledge a Member’s point of view of his/her healthcare and integrate that awareness in the delivery of medical services. El Paso Health facilitates Provider orientation sessions to promote our Cultural Competency Plan and educate network Providers about culturally competent services to avoid disparities in the delivery of medical services to the diverse populations of the El Paso SDA.
By contractual agreement, all Network Providers are required to adhere to the standards of the Americans with Disabilities Act (ADA). Our Provider Relations Representatives conduct credentialing site visits as well as quarterly visits to Primary Care Providers, Obstetricians and Behavioral Health Providers, and annual visits to all other specialists, to ensure Providers’ locations are accessible to Members with disabilities. El Paso Health’s Cultural Competency Plan is made available to El Paso Health Network Providers in written form, when requested. Our Provider Manual includes a section on cultural competency.
Provider Advisory Group discussion is held on a quarterly basis via the Utilization Management Committee Meeting. The provider panel provides guidance for enhancements to maintain and continually improve El Paso Health’s service to the provider network, and to ensure provider satisfaction with health plan processes. To participate in the Provider Advisory Group, please call us at 1-877-532-3778.