Marlien / Who we serve / Texas enrollment

Move Texas payer enrollment forward with every requirement accounted for.

Marlien prepares covered applications for Medicare, Texas Medicaid, and selected commercial payers, records submission evidence, and follows up through each documented decision.

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Last reviewed 2026-11-05. Source owner: Valerie.

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Texas Medicaid: PEMS enrollment

How Texas Medicaid enrollment works

Texas Medicaid applications are completed online in the Provider Enrollment and Management System (PEMS), which TMHP operates for the Texas Health and Human Services Commission. Incomplete applications are returned for correction, and the state decides the outcome and the effective date.

Managed care plans

Providers must be enrolled in Texas Medicaid before enrollment can be approved for Medicaid managed care, and managed care participation is a separate step with each health plan. Plan participation is decided by the plan. Marlien does not negotiate payer contracts, reimbursement rates, fee schedules, or participation terms.

Texas scope

What Marlien handles in Texas, what you provide, and what payers decide.

Medicaid

Texas Medicaid provider enrollment applications in the Provider Enrollment and Management System (PEMS), for the provider types Marlien confirms
Application preparation, signature coordination, and submission proof
Follow-up on deficiencies and written status updates until the decision is documented

Commercial payers

Aetna
Cigna Healthcare
UnitedHealthcare
Blue Cross and Blue Shield of Texas
Baylor Scott & White Health Plan

Panel availability is a payer decision and is checked before applications are prepared.

You provide

Practice and provider details
Licenses and documents Marlien lists for your payers
Signatures from the provider or authorized official

Not included: Organization, facility, or laboratory enrollment unless quoted; Negotiating payer contracts, rates, fee schedules, or participation terms; Government, payer, and other third-party fees.

Medicare enrollment for Texas providers is prepared for review and signature in the same way as in Georgia. See enrollment services and pricing.

See the milestone and next action for every application

Marlien keeps preparation, submission, payer acknowledgement, approval, and activation separate, so you can see what has happened and what comes next.

Requirements complete. Each covered application is prepared against the payer instructions and the services accepted in writing.
Submission recorded. An application is not marked submitted until Marlien records confirmation from the payer channel.
Open applications stay visible. They remain on the work queue until the outcome is documented.

Official sources

Payer and state instructions change. Confirm the current instructions with the source before relying on this page.

Application submission commitment

How the commitment works

Start date: the later of our written confirmation that required documents are complete and the first date a payer allows filing.

Due date: 10 business days after the start date.

If we miss it: the engagement receives three additional months of credentialing maintenance at no charge. This applies once per engagement and is the sole remedy for a missed submission deadline.

What payers decide

Approval, network participation, processing time, and effective dates belong to the payer. Marlien does not guarantee them. The remedy covers Marlien's submission timing only.

Texas guides

See the price before enrollment work begins.

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