Second Revalidation Extension Available for Texas Medicaid Providers
TMHP and HHSC have provided a prolonged time to revalidation and enrollment gap flexibilities until November 30, 2025, allowing providers time to remain active. Providers that have initiated revalidation or reenrollment should complete the applications and resolve any barriers as soon as possible to avoid gaps in service.
Providers that have not initiated the revalidation process ought to start immediately. Revalidation can be initiated up to 180 calendar days prior to the provider’s due date.
Effective July 8, 2025, the Texas Health and Human Services Commission (HHSC) is offering additional flexibility to providers who have already been granted a 180-day revalidation due date extension. If these providers are unable to complete their revalidation by the updated due date, they may qualify for a second 180-day extension.
This new extension will automatically appear in the Provider Enrollment and Management System (PEMS) under the Provider Information section.
Revalidation Deadline Extensions
Providers whose revalidation due dates fall between December 13, 2024, and November 30, 2025, will automatically be given an additional 180 days to undertake the process. The PEMS system checks daily for providers with revalidations due the next day. If the revalidation isn’t completed, the system will automatically add 180 calendar days to the current due date. This new extension is on top of any previous extensions already given.
Note: PEMS is giving first-time extensions to eligible providers daily. Starting July 8, 2025, PEMS will also offer second extensions to providers who got an earlier extension but haven’t finished revalidation.
Providers who have already received a 180-day extension and have a revalidation due date between June 1 and July 7, 2025, might get a disenrollment letter before the extension appears in PEMS. Once PEMS is updated, any providers who were disenrolled for not revalidating will be reactivated, and TMHP will reprocess any affected claims.
Starting July 8, 2025, the Revalidation Due Dates section on the Provider Information page in PEMS will show the updated extension. Providers will also get a confirmation letter by mail and an email notification with the new due date. This extra time will help providers finish and submit their PEMS revalidation and avoid disenrollment.
Important Reminder
A provider’s revalidation is only complete when the request status shows “Closed-Enrolled.” Submitting the request is just the first step. TMHP will review the request, and it must be approved before it can reach the “Closed-Enrolled” status.
For help with revalidation or reenrollment, providers can visit the Provider Enrollment Help page or the PEMS Instructional Site on tmhp.com.
