How to Become a Medicaid Provider in Texas (TX)

Q: How do I become a Medicaid provider in Texas?

Apply through Texas Health and Human Services Commission (HHSC). Timeline: 90–150 days.

Texas Medicaid at a Glance

Program Name

Texas Medicaid (STAR+PLUS)

Managing Agency

Texas Health and Human Services Commission (HHSC)

Reimbursement Rates

$15–$22/hour for personal care/attendant; $40–$80/visit for skilled nursing

Application Timeline

90–150 days

Enrollment Process: Step by Step

1
Apply through TMHP Provider Enrollment portal
2
Complete HHSC Provider Application
3
Submit NPI, EIN, and Texas business registration
4
Complete DPS/FBI background checks
5
Obtain HHSC Home and Community Support Services Agency (HCSSA) License
6
Submit proof of surety bond and liability insurance
7
Contract with STAR+PLUS MCOs
8
Complete MCO credentialing

Accepted Provider Types

Home & Community Support Services Agencies (HCSSA) Home Health Agencies Personal Attendant Service Providers Private Duty Nursing

Required Certifications & Licenses

✓ HCSSA License
✓ NPI Number
✓ DPS/FBI Background Check
✓ Surety Bond

Waiver Programs in Texas

These Medicaid waiver programs fund home and community-based services in Texas:

STAR+PLUS HCBS

Community Living Assistance & Support Services (CLASS)

Deaf-Blind with Multiple Disabilities (DBMD)

Home & Community-based Services (HCS)

Texas Home Living (TxHmL)

STAR Kids

Billing System

TMHP for FFS; STAR+PLUS MCO billing (Molina, Superior, UHC, Amerigroup, Aetna)

⚠️ Common Denial Reasons

✗ HCSSA license not obtained
✗ Missing surety bond
✗ MCO credentialing incomplete
✗ DPS background check delays

💡 Tips for Approval

★ Texas is the SECOND LARGEST Medicaid home care market
★ HCSSA licensure is mandatory and takes 3–6 months
★ STAR+PLUS MCO contracts essential for home care
★ Surety bond amount varies — check current requirements
★ Texas has 13 HHSC regions — start with your target area

Need Help Enrolling in Texas?

Our team specializes in Medicaid provider enrollment for home care agencies. We'll guide you through every step.

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Other States

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Frequently Asked Questions — Medicaid in Texas

How do I become a Medicaid provider in Texas?

To enroll as a Medicaid home care provider in Texas, you must apply through Texas Health and Human Services Commission (HHSC). The process includes: Apply through TMHP Provider Enrollment portal. Timeline: 90–150 days.

What are the Medicaid reimbursement rates in Texas?

$15–$22/hour for personal care/attendant; $40–$80/visit for skilled nursing

What certifications are required in Texas?

Required certifications include: HCSSA License, NPI Number, DPS/FBI Background Check, Surety Bond.

What waiver programs are available in Texas?

STAR+PLUS HCBS; Community Living Assistance & Support Services (CLASS); Deaf-Blind with Multiple Disabilities (DBMD); Home & Community-based Services (HCS); Texas Home Living (TxHmL); STAR Kids

What are common reasons for Medicaid denial in Texas?

HCSSA license not obtained; Missing surety bond; MCO credentialing incomplete; DPS background check delays

How to Become a Medicaid Home Care Provider in Texas