Welcome, Texas healthcare providers
Partner with Molina Healthcare to deliver quality care. Use our portal, tools, and support to care for your patients.
Molina Healthcare routinely reviews approval rates for CPT and HCPCs codes submitted by Providers for those services requiring prior authorization. If a provider’s prior authorization approval rate meets a level set by the state, Molina may grant “Gold Card” status for those services and Providers will not be required to obtain prior authorizations for those services.
Find what you need, including the grievance and appeals process, provider and member rights and responsibilities, and more.
Read the Molina Healthcare Provider Manual
Visit our Provider Online Directory to update your office location, hours, and contact information. Medicaid providers should also verify and update their demographic information in the Provider Enrollment Management System (PEMS).
New cultural competency trainings for providers are available on the Availity Provider Portal.
This page is for providers serving Texas Molina members. For member enrollment verification, use the provider portal.
TMHP Enrollment and Demographic Information Update
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.
The TMHP Provider Enrollment webpage can be accessed at: TMHP Provider Enrollment
To make updates to your current enrollment (e.g., new practice locations or change of ownership updates), please access the Provider Enrollment and Management System (PEMS) at: PEMS Portal
The Step-by-Step Guide can be accessed at: PEMS Step-by-Step Guide
This page includes step-by-step instructions for maintenance requests as well as new enrollment, existing enrollment, revalidation, and reenrollment. Select the link under Existing Enrollment to access instructions for adding new practice locations or to submit a change of ownership. Select the link under Maintenance to access instructions for updating demographic data.
This page also provides links to the Enrollment Help Page and the TMHP YouTube Channel, which includes a playlist dedicated to PEMS. Additional provider enrollment help can also be found online.
For assistance, contact TMHP directly at (800) 925-9126.