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Get TX TMHP Medicaid Provider Enrollment App 2012

• Applications for providers that are new to Texas Medicaid. • Applications for providers that are requesting new practice locations. • Applications for currently enrolled providers that must periodically revalidate their enrollment in Texas Medicaid. Refer to: Code of Federal Regulations (CFR) Title 42 Ch. IV, Subpart E-Provider Screening and Enrollment; and Texas Administrative Code (TAC) Title 1, Part 15, Chapter 352, for the statutory provisions for these requirements. Provi.

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