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Texas Medicaid | FAQs

Learn more about the enrollment process for Texas Medicaid as a Grow Therapy provider.

Updated over 2 months ago

Grow Therapy does not allow providers to bill directly with Medicare or Medicaid. Instead, Grow works with Managed Care plans, which require separate enrollment processes from the state. If you choose to enroll with and see Medicare or Medicaid clients, Grow automatically enrolls you with the Managed Care plans available in your licensed state(s).

Key Takeaways


  • Grow Therapy providers are not automatically enrolled in Medicaid. You must indicate your interest in enrollment by completing this form.

  • Grow Therapy's Enrollment Team communicates crucial information and next steps via email, so please ensure provider-credentialing@growtherapy.com is added to your contacts list.

  • You must be enrolled with Texas Medicare to be enrolled with Texas Medicaid. This is a Texas Medicaid requirement.

  • If you are currently credentialed with Texas Medicaid, the Enrollment Team must submit a request to affiliate your enrollment with Grow Therapy before you can accept Texas Medicaid clients.

  • Providers must revalidate their information with Medicaid every five years.


FAQs


Will I automatically be enrolled with Texas Medicaid?

No, Grow Therapy will only enroll a provider with Texas Medicaid if:

  • You meet all Texas Medicaid requirements.

  • You are currently enrolled with Texas Medicare. This is a Texas Medicaid requirement.

  • You have informed Grow Therapy you are interested in working with Medicaid clients. You can update your Medicaid preferences here.

What if I have yet to be enrolled in Texas Medicare?

  • Update your Medicare preferences here to get started.

  • Next, Grow Therapy will enroll you with Texas Medicare as the first step.

  • Once Texas Medicare approves you, the Enrollment Team will automatically submit your application with Texas Medicaid.

What provider types are eligible for Credentialing/Enrollment with Texas Medicaid?

All Grow Therapy providers, regardless of license type, are eligible for enrollment with Texas Medicaid through Grow Therapy.

What documentation does the Texas Medicaid application require?

The documentation requirements vary according to license type. The Enrollment Team will email you requesting information and specific documents required for your application.

How is the application submitted?

Once enrollment begins, the Enrollment Team will email you requesting any additional information or documents required for your application. Once all requested information is received, the Enrollment Team will submit the application to Texas Medicaid.

Does a new application need to be submitted if I've previously credentialed with Texas Medicaid?

If your enrollment with Texas Medicaid is still active, a new application will not be completed, but your enrollment must still be affiliated with Grow Therapy. The Enrollment Team will submit a request to affiliate you with Grow Therapy. A new application must be submitted if your enrollment has expired or terminated.

How will I be notified if there are errors in the application?

If Texas Medicaid finds an error in the application or requires additional information, a Request for Information will be sent to Grow Therapy to complete. If the Enrollment Team requires additional information or clarification to answer the Request for Information, they will email you directly.

How long will it be before I'm approved once the application has been submitted?

After submitting the application, Texas Medicaid indicates it may take up to 30 days to process. However, due to high application volumes, processing often exceeds 30 days, leading to longer wait times.

If you have questions about your application, contact the Enrollment Team at provider-credentialing@growtherapy.com.

What happens once I'm approved?

When Texas Medicaid processes and approves the application, the Enrollment Team automatically enrolls you in all Medicaid Managed Care Organizations (MCOs) Grow Therapy partners with in Texas.

Your application status will be reflected on the Grow Therapy platform and automatically become available in your referral options when you're ready to start seeing Texas clients with Medicaid.


How often do I need to revalidate my information?

Providers must revalidate their information with Medicaid every five years. All state Medicaids require this to ensure enrollment information is accurate and up-to-date. You will receive notifications 90 days before your revalidation due date, with instructions on performing the revalidation.

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