Community First Health Plans reminds all pharmacy Providers that the Texas Health and Human Services Commission (HHSC) manages pharmacy enrollment operations through the Provider Enrollment and Management System (PEMS). PEMS serves as the single platform for enrollment, reenrollment, revalidation, and maintenance requests, including updates to Provider enrollment records.
To ensure you receive important updates and notifications, please verify that your enrollment and contact information in PEMS is accurate, including:
- Telephone number
- Fax number
- Pharmacy type (retail, long-term care, or specialty)
- Hours of operation
- Email address
A correct email address in PEMS ensures you receive timely enrollment-related notifications from Texas Medicaid & Healthcare Partnership (TMHP). If TMHP emails are marked as spam or blocked, you will no longer receive important updates.
Provider claims may be rejected by the Texas Health and Human Services Commission, TMHP, MCOs, or dental maintenance organizations if enrollment information is not up to date.
Pharmacies can submit a maintenance request to TMHP to correct any missing or inaccurate information. For assistance, call the TMHP Contact Center at 800-925-9126.
Additional PEMS resources are available:
- Preparing for PEMS Guide (PDF)
- Verifying an Email in PEMS (PDF)
- PEMS Best Practices (PDF)
- PEMS Provider Enrollment Help
- TMHP PEMS YouTube Video Library
Community First Resources:
Providers are encouraged to share this information with their staff. If you have any questions about this notice, please email Provider Relations at ProviderRelations@cfhp.com or call 210-358-6294. You can also contact your Provider Relations Representative directly.
To access all Provider alerts:
- Log into the Community First Provider Portal
- Go to CommunityFirstHealthPlans.com/Provider-News
- Sign up for the Community First Provider eNewsletter