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  1. 3 Μαΐ 2022 · The Provider Enrollment and Management System (PEMS) is an electronic application that will guide you through the process of enrolling in Texas Medicaid and other State Health-Care programs. PEMS provides immediate feedback on your application so that you can address issues before submitting your application.

  2. This application can be used to enroll as an individual provider in Texas Medicaid, Texas Health Steps, and the Children with Special Health Care Needs (CSHCN) Services Program. To ensure accurate processing, complete and return the following forms to TMHP:

  3. Effective Date: 1/2022. Availability. English PDF: Form H1200. Spanish PDF: Form H1200-S. Instructions. English and Spanish forms can be found under the title "Form to apply for Medicaid for the Elderly and People with Disabilities or Medicare Savings Program" under section "Forms to apply for benefits".

  4. Medicaid and the Children's Health Insurance Program (CHIP) provide health coverage for low-income children, families, seniors and people with disabilities.

  5. www.yourtexasbenefits.com › Learn › GetPaperFormYour Texas Benefits

    Download and print the forms you need or ask us to mail them to you. All paper forms available. Forms to apply for benefits. Forms to give proof for benefits. Other forms. Forms you want mailed. Send All By Mail.

  6. www.yourtexasbenefits.com › GeneratePDF › StaticPdfsYour Texas Benefits

    You must apply for Medicare through a different agency - the Social Security Administration. To learn more, visit www.Medicare.gov or call 1-800-633-4227. Medicaid Buy-In Program. To ask for these forms, call 2-1-1 or 1-877-541-7905. Helps people who work and: (a) have a disability or (b) are age 65 or older.

  7. Apply for Medicaid or CHIP benefits in one of these ways: Visit Your Texas Benefits website External Link. and choose “Apply for new benefits.”. Call 2-1-1 (TTY 711) toll-free Monday through Friday from 8:00 a.m. to 6:00 p.m. Central Time. Print or request a paper form External Link.