Texas credentialing
Credentialing services in Texas
Texas Medicaid through TMHP, the STAR and STAR Kids managed-care plans, BCBS of Texas, and every national commercial payer — filed together, not one at a time.
Overview
What credentialing in Texas actually involves
Texas Medicaid runs through TMHP, and almost every member is in a managed-care plan. Groups expanding into Texas usually underestimate how much of the timeline is plan-level roster work after the state enrollment closes.
BCBS of Texas is the largest commercial payer, followed by Aetna, Cigna, UnitedHealthcare, and Humana, plus the behavioral carve-outs.
Texas Medicaid
Filed through TMHP provider enrollment (PEMS). TMHP enrollment commonly runs 45–90 days, with STAR / STAR Kids plan roster loads adding 30–90 days each.
Texas Medicaid managed-care plans we enroll with
- Superior HealthPlan (Centene)
- Wellpoint Texas
- Molina Healthcare of Texas
- UnitedHealthcare Community Plan
- Community First Health Plans
- Driscoll Health Plan
- Texas Children's Health Plan
Texas licensing we handle
- Texas Medical Board and allied professional board applications
- Behavior analyst licensure through the Texas Behavioral Health Executive Council
- Texas Controlled Substances registration alignment
- Texas-specific group and facility registrations
Texas licenses behavior analysts (LBA) through the Behavioral Health Executive Council. The state license, not just BACB certification, gates Medicaid and most commercial ABA credentialing.
FAQ
Texas credentialing questions
How long does Texas Medicaid enrollment take?
TMHP enrollment typically runs 45–90 days from a clean submission. STAR and STAR Kids managed-care plans then load the provider individually, usually adding 30–90 days per plan.
Do you handle PEMS submissions?
Yes — we manage the full Provider Enrollment and Management System filing, including revalidations and group linkage, and follow up with TMHP directly on pended items.
Can you credential BCBAs in Texas?
Yes. We handle Texas LBA licensure through the Behavioral Health Executive Council alongside Medicaid and commercial ABA credentialing.
Other states
Get started
Expanding in Texas?
Book a call and we'll map your Texas payers, licensing, and Medicaid timeline before you file anything.