Can My Practice Still Add a Home Health or Hospice Location With Medicare?
CMS extended its Medicare home health and hospice enrollment freeze for six more months on November 12, 2026, and for the first
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Texas Medicaid
Texas Medicaid, consistent records and paid
An active Texas Medicaid ID, matching Medicare records, and revalidation finished before the due date.
Texas Medicaid enrollment pays off when the file is complete and consistent the first time, because every deficiency becomes a request for corrections before the application can finish. The Texas Medicaid and Healthcare Partnership processes your application, and the steps are laid out on the TMHP How to Apply page.
Revalidation cycle
Most providers have an enrollment period of five years, and revalidation can be submitted up to 180 days before it ends. TMHP, How to Apply for Enrollment
Missed deadline
Disenrolled providers have claims and prior authorization requests denied and must submit a reenrollment application. TMHP, How to Apply for Enrollment
Grace period
A revalidation submitted before the due date that reaches its final enrolled status within 45 days after it is treated as complete, with no gap in enrollment. TMHP, How to Apply for Enrollment
CMS revalidation deadline
HHSC may require some providers to revalidate before their due date, and CMS requires these revalidations to be complete by June 5, 2028. TMHP, CMS Revalidation Initiative
What we see in practice
45 to 90 days from submission to an active Medicaid ID.
In the official words
Disenrolled providers will have claims and prior authorization requests denied and must submit a reenrollment application to regain participation.
Revalidation is not complete until all deficiencies have been corrected, all required reviews have been completed
A mismatch with Medicare slows the whole file
In October 2026, TMHP told providers that the Texas Health and Human Services Commission is revising its enrollment review to reinforce accurate, complete and consistent disclosure of ownership. For an organization that is in both Medicare and Texas Medicaid, the details for each owner, creditor or principal must be consistent across both records. TMHP
The fields that have to agree are each person's name, date of birth and Social Security number, plus the federal EIN where it applies. Ownership has to total 100 percent, and any shortfall must be explained. TMHP
A mismatch between the two records may become a deficiency that delays enrollment, so fix Medicare first. Updates to Medicare enrollment must be approved before you submit updates or a new enrollment request to Texas Medicaid. TMHP
How enrollment works, step by step
- Pick the right application type. A new enrollment is for a provider who has never been enrolled. A reenrollment follows a disenrollment, termination or exclusion. A revalidation renews an existing enrollment. TMHP
- Apply through the Provider Enrollment and Management System, which gives immediate feedback so you can address issues before you submit. TMHP
- A Provider Enrollment Specialist reviews the application, and any deficiency comes back as a request for corrections. TMHP
- After the application has been determined to be free of all deficiencies, it may require additional review, such as a site visit or an approval from HHSC. TMHP
- When everything is approved, a notification letter confirms completion and gives your next revalidation date. If your information changes before then, you must update your enrollment record. TMHP
In Texas the time depends on how many times a file goes back and forth. The enrollment system gives feedback before you submit, a Provider Enrollment Specialist then returns any deficiency as a request for corrections, and a clean application can still need a site visit or an approval from HHSC. Ownership details that disagree with Medicare are one more way a file picks up a deficiency. For Texas we plan on 45 to 90 days from submission to an active Medicaid ID.
Revalidation and the CMS deadline
A five year enrollment period is the norm, and some providers have shorter ones. The dates are in the Provider Enrollment and Management System and on your Provider Welcome letter. You can submit revalidation up to 180 days before the period ends. TMHP
TMHP's October 2026 notice says HHSC may require certain providers to revalidate sooner than their current due date, with CMS requiring these revalidations to be complete by June 5, 2028. TMHP said it would notify affected providers on October 31, 2026, through the Provider Enrollment and Management System, by letter and by email. Reminders go out 180, 120, 90 and 45 days before the due date. TMHP
To receive the email notices, keep the primary and secondary email addresses on your enrollment profile current. Affected providers are not eligible for extensions, and submitting a revalidation application by the due date is not enough to avoid disenrollment. TMHP
Allow time for corrections. Data element changes need up to 30 business days from the date TMHP receives the form before you can complete the revalidation application. TMHP
Where Texas enrollments lose money
Missing the due date is the costly one. Providers who do not revalidate in time are disenrolled from all Texas state health care programs, including Medicaid managed care organizations and dental maintenance organizations. Their claims and prior authorization requests are denied, and they must submit a reenrollment application to regain participation. TMHP
A revalidation is not complete until all deficiencies are corrected, all required reviews are done and the application reaches its final enrolled status in the Provider Enrollment and Management System. A request submitted before the due date that reaches that status within 45 days after it is treated as complete, with no gap. TMHP
A second loss is a quiet one. A provider who was disenrolled because of no claim activity for 24 months must reenroll, and a reenrolling provider goes through the same screening as a new one. TMHP
Check where you stand before you submit
WeBill Health runs Revenue Velocity Credentialing with 24/7 CAQH and PECOS lifecycle monitoring, so revalidation dates and affiliation gaps are caught before they become suspended claims. Every file gets Human Expert Review from a credentialing specialist before it goes to the state.
Revenue Velocity Credentialing
WeBill Health manages the full payer enrollment lifecycle, so your revenue cycle starts the moment your practice does.
Up to 40%
less payer enrollment lag against the industry baseline
24/7
CAQH and PECOS lifecycle monitoring
Review your enrollment status with us
The Revenue Defense Audit is a free, forensic review of your claims and A/R by the team that would work your account, including providers seeing patients under a payer that cannot pay them yet.
Want a quick read first? Check my Revenue Defense Score for the credentialing and denial exposure in your specialty.
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